Common Pitfalls in Sleep Medicine - Title page

pp iii-iii

Copyright page

pp iv-iv

Contents

pp v-ix

Contributors

pp x-xiv

Preface

pp xv-xvi

Acknowledgements

pp xvii-xviii

1 - Introduction: the complexity, challenges, and rewards of effective sleep medicine

pp 1-6

Section one - Sleepiness versus fatigue, tiredness, and lack of energy

pp 7-32

2 - How to distinguish between sleepiness, fatigue, tiredness, and lack of energy

pp 9-13

3 - A patient with prominent fatigue, tiredness, or lack of energy rather than sleepiness may still have a sleep disorder

pp 14-17

4 - Fatigue, tiredness, and lack of energy, not just sleepiness, can improve considerably when a sleep disorder is treated

pp 18-22

5 - Patients with narcolepsy, in contrast to sleep apnea, more often choose to describe the problem as “sleepiness” rather than using other terms

pp 23-27

6 - Patients with fatigue and sleepiness: multiple sclerosis

pp 28-32

Section two - Assessment of daytime sleepiness

pp 33-56

7 - Patient complaints, subjective questionnaires, and objective measures of sleepiness may not coincide

pp 35-40

8 - Daytime sleepiness and obstructive sleep apnea severity: where symptoms and metrics do not converge

pp 41-47

9 - Neither subjective nor objective measures allow confident prediction of future risk for motor vehicle crashes due to sleepiness

pp 48-52

10 - A sleep apnea patient with excessive daytime sleepiness and subtle respiratory events may be misdiagnosed with narcolepsy or idiopathic hypersomnia

pp 53-56

Section three - Diagnosis of narcolepsy

pp 57-70

11 - Narcolepsy with cataplexy can occur in the absence of a positive Multiple Sleep Latency Test

pp 59-63

12 - Narcolepsy is not the only cause of sleep-onset rapid eye movement periods

pp 64-70

Section Four - Diagnosis of obstructive sleep apnea

pp 71-102

13 - A strict cut-off for the apnea/hypopnea index does more harm than good in clinical practice

pp 73-78

14 - One night of polysomnography can occasionally miss obstructive sleep apnea

pp 79-83

15 - Unattended, full polysomnography can be a good alternative to attended polysomnography, but technical limitations are common

pp 84-93

16 - Home cardiopulmonary tests are a useful option, but only under appropriate circumstances

pp 94-102

Section Five - Positive airway pressure to treat obstructive sleep apnea

pp 103-128

17 - Repeated continuous positive airway pressure studies may raise the prescribed pressure above necessary treatment levels

pp 105-110

18 - Patient education and motivational enhancement can make the difference between adherence and non-use of positive airway pressure

pp 111-114