scholarly journals A RETROSPECTIVE ANALYSIS ON THE DEMOGRAPHIC CHARACTERISTICS OF PATIENTS WITH EXCESSIVE DAYTIME SLEEPINESS PRESENTING TO THE SLEEP MEDICINE CLINIC HOSPITAL TAIPING

Respirology ◽  
2018 ◽  
Vol 23 ◽  
pp. 313-313
Keyword(s):  
Retrospective Analysis ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Sleep Medicine ◽  
Demographic Characteristics ◽  
Medicine Clinic ◽  
Clinic Hospital

scholarly journals Self-reported body silhouette trajectories across the lifespan and excessive daytime sleepiness in adulthood: a retrospective analysis. The Paris Prospective Study III

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e020851 ◽  
Author(s):  
Quentin Lisan ◽  
Muriel Tafflet ◽  
Marie-Aline Charles ◽  
Frédérique Thomas ◽  
Pierre Boutouyrie ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
The Body ◽  
Public Health Importance ◽  
Confounding Variables ◽  
Registration Number ◽  
Study Population ◽  
Paris Prospective Study ◽  
Stable Trajectory

ObjectivesExcessive daytime sleepiness (EDS) is a common sleep complaint in the population and is increasingly recognised as deleterious for health. Simple and sensitive tools allowing identifying individuals at greater risk of EDS would be of public health importance. Hence, we determined trajectories of body silhouette from early childhood to adulthood and evaluated their association with EDS in adulthood.DesignA retrospective analysis in a prospective community-based study.Participants6820 men and women self-reported their silhouette at ages 8, 15, 25, 35 and 45 using the body silhouettes proposed by Stunkardet al. EDS was defined by an Epworth Sleepiness Scale score ≥11.Main outcome measurePresence of EDS in adulthood.ResultsThe study population comprised 6820 participants (mean age 59.8 years, 61.1% men). Five distinct body silhouettes trajectories over the lifespan were identified: 31.9% ‘lean stable’, 11.1% ‘lean increase’, 16.1% ‘lean-marked increase’, 32.5% ‘moderate stable’ and 8.4% ‘heavy stable’. Subjects with a ‘heavy-stable’ trajectory (OR 1.24, 95% CI 0.94 to 1.62) and those with a ‘lean-marked increase’ trajectory (OR 1.46, 95% CI 1.18 to 1.81) were more likely to have EDS when compared with the ‘lean-stable’ group after adjusting for confounding. Further adjustment for birth weight strengthened the magnitude of the ORs.ConclusionIncreasing body silhouette and to a lesser extent constantly high body silhouette trajectory from childhood to adulthood are associated with increased likelihood of EDS, independently of major confounding variables.Trial registration numberNCT00741728; Pre-results.

scholarly journals 842 PAP Therapy in a Pandemic: Management of Severe Mixed Apnea Predominant OSA & CSA during the COVID-19 Pandemic

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A328-A328
Author(s):  
Ugorji Okorie ◽  
Rupa Koothirezhi ◽  
Pratibha Anne ◽  
Oleg Chernyshev ◽  
Cesar Liendo ◽  
...  
Keyword(s):  
Sleep Apnea ◽  
Rem Sleep ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Body Position ◽  
Central Sleep Apnea ◽  
Sleep Medicine ◽  
Sleep Study ◽  
Adequate Treatment ◽  
Obstructive Sleep

Abstract Introduction Introduction/Background: A new protocol and standard of care was created amidst the COVID-19 Pandemic that began in 2020. Traditional split night studies fell out of favor and were replaced by solely diagnostic studies with placement on Auto-PAP therapy if treatment of sleep disordered breathing was required. Some patients, however, required a more tailored approach if diagnostic polysomnogram (PSG) was particularly concerning. Our case report describes the treatment of a patient with severe Mixed Apnea Predominant Obstructive Sleep Apnea (OSA) with accompanying Central Sleep Apnea (CSA) using COVID-19 Precautions. Report of case(s) Case Description: A 48 year old AAM patient with a PMH of HTN, pre-diabetes, GERD, obesity and tobacco abuse initially presented to Sleep Medicine in late January 2020 with complaints of snoring, witnessed apneas, waking up gasping, excessive daytime sleepiness, fatigue, and non-restorative sleep for many years with ESS 24 and FSS 48 on initial evaluation. Diagnostic PSG showed AHI 76.9 with O2 desaturation to 59% and demonstrated the presence of severe Mixed Apnea predominant OSA and CSA with worsening during REM sleep. Because of the severity, he underwent a PAP titration in August 2020 using the AASM COVID-19 sleep study precautions which included use of a negative pressure room. Optimal control of snoring, apneic respiratory events and oxygen desaturations was achieved at 14 cm H2O in the supine body position during REM sleep. Follow up with Sleep Medicine in October and December 2020 showed objective compliance over a 30 day period not completely at goal due to issues with mask desensitization and sleep hygiene, however the patient subjectively reported that he noticed great improvement in snoring, excessive daytime sleepiness and fatigue. Conclusion: Discussion/Conclusion With a diagnosis of Severe Mixed Apnea Predominant OSA as well as CSA noted during the study, the differential diagnosis included CHF, Chiari malformation, opioid abuse and idiopathic CSA as the cause. Despite a dangerous pandemic, appropriate therapy for certain patients must still be attained. Special protocols developed during the COVID-19 Pandemic allowed for our patient to receive adequate treatment, while ensuring the safety of all involved. Support (if any) References COVID 19: FAQs for Sleep Clinicians. AASM official website. https://aasm.org/covid-19-resources/covid-19-faq/

Sleep and epilepsy—chicken or egg?

2018 ◽  
Author(s):  
Dora A. Lozsadi
Keyword(s):  
Side Effects ◽  
Sleep Disorders ◽  
Learning Disability ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Seizure Control ◽  
Subjective Sleep ◽  
Neurological Conditions ◽  
The Uk ◽  
Patients With Epilepsy

Epilepsy is the commonest serious chronic neurological condition, affecting 0.5% of the population in the UK. Subjective sleep disturbance and excessive daytime sleepiness are reported to be 50% more frequent in those with epilepsy than in controls. Causes are multiple. Both poor seizure control and nocturnal attacks are known to contribute to such sleep disorders. Epilepsy also increases the risk of associated sleep disorders, and additional neurological conditions, such as dementia, learning disability, and depression. These all affect sleep hygiene. Prescribed anti-epileptic drugs will further aggravate the problem. Side-effects will include drowsiness. Sedating benzodiazepines and barbiturates are considered worst offenders. Others affect sleep architecture to varying degrees and/or cause insomnia. While hyper-somnolence in patients with epilepsy will raise the possibility of any of the above issues, sleep deprivation is one of the commonest seizure triggers. This chapter will shed more light on the intricate relationship between sleep and epilepsy.

scholarly journals Solriamfetol for Excessive Daytime Sleepiness in Parkinson's Disease: Phase 2 Proof‐of‐Concept Trial

2021 ◽  
Author(s):  
Aleksandar Videnovic ◽  
Amy W. Amara ◽  
Cynthia Comella ◽  
Paula K. Schweitzer ◽  
Helene Emsellem ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Phase 2 ◽  
Proof Of Concept

scholarly journals Risk of obstructive sleep apnea, excessive daytime sleepiness and depressive symptoms in a Nigerian elderly population

Sleep Science ◽  
2016 ◽  
Vol 9 (2) ◽  
pp. 106-111 ◽  
Author(s):  
Michael B. Fawale ◽  
Olanrewaju Ibigbami ◽  
Ishaq Ismail ◽  
Adekunle F. Mustapha ◽  
Morenikeji A. Komolafe ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Depressive Symptoms ◽  
Sleep Apnea ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Elderly Population ◽  
Obstructive Sleep

scholarly journals Late-Onset Narcolepsy: A Case Report with Brief Review of the Literature

2021 ◽  
Author(s):  
Jeny Jacob ◽  
Rajesh Venkataram ◽  
Nandakishore Baikunje ◽  
Rashmi Soori
Keyword(s):  
Older Adults ◽  
Case Report ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Late Onset ◽  
Sleep Latency ◽  
Early Adulthood ◽  
Review Of The Literature ◽  
Multiple Sleep Latency ◽  
Overnight Polysomnography

AbstractNarcolepsy, a sleep disorder, has its onset in childhood and early adulthood but rarely in older adults. This case report focuses on a man in his late fifties who was noticed to have excessive daytime sleepiness during his stay in our hospital for an unrelated medical ailment. He was further evaluated with overnight polysomnography and next day multiple sleep latency test which confirmed the diagnosis of narcolepsy.

Sign in / Sign up

Export Citation Format

Share Document