scholarly journals Unwanted Overtures by Night, Remorse by Day

2019 ◽  
pp. 514-525
Author(s):  
Muna Irfan ◽  
Michel J. Howell

Sexual behavior in sleep has only recently been recognized as a variant of non–rapid-eye-movement (NREM) arousal parasomnias. This chapter discusses a case of sexsomnia precipitated by obstructive sleep apnea, the ensuing impact on the subject and his bed partner, and evaluation and management strategies. Sexsomnia is suspected to be highly underreported and carries significant physical, psychosocial, and forensic ramifications. Polysomnography with expanded electroencephalography can help identify concurrent sleep disorders and exclude other etiologies such as epilepsy. Treatment of comorbid sleep disorders such as obstructive sleep apnea and sleep deprivation is highly effective in controlling the abnormal sexual behavior. There is a pressing need for research and expansion of current understanding to develop a standardized approach to evaluation and management of sexsomnia.

Author(s):  
Karl Doghramji

Complaints related to sleep and wakefulness are some of the most commonly encountered in clinical settings. This chapter reviews specific sleep disorders including insomnia disorder, hypersomnolence disorder, narcolepsy, obstructive sleep apnea hypopnea syndrome, central sleep apnea syndrome and selected parasomnias (nonrapid eye movement sleep arousal disorders and rapid eye movement sleep behavior disorder). These disorders are some of the best characterized and commonly comorbid with other medical and psychiatric disorders. Their defining characteristics, diagnostic modalities, and treatment options are summarized. Topics covered in this chapter include narcolepsy, cataplexy, insomnia, restless legs syndrome, periodic limb movement disorder, obstructive sleep apnea, central sleep apnea, hypersomnolence.


2003 ◽  
Vol 29 (1) ◽  
pp. 15-28
Author(s):  
Licia Coceani

In recent years, a wealth of studies revealed the many physiological and histological changes the oropharyngeal muscles go through as a result of sleep disorders, in particular, as a result of Obstructive Sleep Apnea (OSA). This article presents a literature review of the most recent findings regarding sleep disorders and their effect on oropharyngeal structures. The article includes classifications and definitions of various sleep disorders; explains the negative implications of sleep disorders in children, as well as in adults; reviews the viable options to treat sleep disorders; suggests steps in which the orofacial myologists could be instrumental in identifying and referring patients with possible sleep disorders; and suggests further studies on the subject conducted by orofacial myologists.


CHEST Journal ◽  
2009 ◽  
Vol 135 (4) ◽  
pp. 957-964 ◽  
Author(s):  
Danny J. Eckert ◽  
Atul Malhotra ◽  
Yu L. Lo ◽  
David P. White ◽  
Amy S. Jordan

2015 ◽  
Vol 13 (2) ◽  
pp. 25-32
Author(s):  
Natal'ya V. Strueva ◽  
Galina A. Mel'nichenko ◽  
Mikhail G. Poluektov ◽  
Larisa V. Savel'eva

The aim of this study was to investigate the relationship between the dynamics of body weight and sleep disorders in the treatment of obesity.Materials and methods. The study included 200 obese patients: 83 men and 117 women.Results. Complaints about problems sleeping (snoring, hypersomnia, insomnia, etc.) were present in 78% of obese patients. 89 patients were under the observation of an endocrinologist for 7 ± 1 months, they were divided into three matched by age, sex and BMI groups: patients with obstructive sleep apnea syndrome (OSAS) (n = 42), the second – with the syndrome of insomnia (n = 19), the third (control group) – patients without sleep disorders (n = 24). After treatment of obesity the weight loss in patients with insomnia syndrome was -2.5 [-4; 0]kg, in patients with OSAS -7 [-18; -2] kg, in patients without sleep disorders -6.5 [-12; -2.25] kg. Clinically significant weight reduction was reached in 25 (59.5%) patients with OSAS; 3 (16%) – with insomnia syndrome; 15 (62.5%) – without sleep disorders.Conclusion. Thus, the insomnia syndrome essentially influences the obesity treatment results – most of patients with this sleep disorder (81.2%) do not achieve clinically significant weight loss. The presence and severity of breathing disorders during sleep do not prevent weight loss. However, with the regular use of CPAP-therapy in patients with OSAS has a tendency of greater reduction of body weight. 


2019 ◽  
pp. 418-434
Author(s):  
Maha Alattar

This chapter covers the relationship between sleep-related headaches and sleep disorders such as obstructive sleep apnea (OSA). Sleep apnea headache (SAH), a type of sleep-related headache that is classified in the International Classification of Headache Disorders, is a distinct subset of headache that is caused by OSA and occurs distinctly on awakening. Once recognized, treatment of OSA is associated with significant improvement in, and often resolution of, SAH. Given the high prevalence of headaches in the general population, sleep disorders must be considered in the evaluation of patients with headaches. A comprehensive sleep evaluation should be an integral part of the assessment of headache disorders. Sleep apnea headache and other types of headaches associated with sleep are reviewed in this chapter.


2021 ◽  
pp. 53-55
Author(s):  
Darshan SodhaSodha ◽  
Shrish Srivastava ◽  
Ajay Kubavat

Obstructive sleep apnea is one of the most common sleep disorders and is an increasingky prevalent condition that remains largely undiagnosed. An observational crosssectional survey conducted in Orthodontic department of Narsinhbhai Patel Dental College using OSA knowledge containing 24 questions including knowledge. questionnaire consisting 24 questions was prepared and circulated to mehsana population across mehsana via google forms. 1000 pediatricians were approached via various social media and whatsapp groups to ll up the google forms. We got 612 complete responses to consider in the study. The level of knowledge regarding diagnosis and management of OSA in the Mehsana population is not optimal. Large number 80.1% were not aware about OSA and 4.7% were aware about risk factors related to OSA.


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