Book contents
- Case Studies in Sleep Neurology
- Case Studies in Sleep Neurology
- Copyright page
- Dedication
- Contents
- ContentsThe following cases described herein have been published previously
- Foreword
- Contributors
- Abbreviations
- Introduction
- Part I Sleep-related breathing disorders
- Part II Hypersomnias of central origin
- Part III Circadian rhythm disorders
- Part IV Parasomnias
- Part V Sleep-related epilepsy
- Part VI Sleep and stroke
- Part VII Sleep-related movement disorders
- Case 32 Violent tongue biting recurring during sleep
- Case 33 A child with behavioral problems and violent sleep behavior leading to trauma
- Case 34 Clicking all night
- Case 35 Repetitive arm movements
- Case 36 Restlessness and jerking upon recumbency when trying to fall asleep
- Case 37 Jumping and yelling while asleep
- Case 38 A case of attention deficit
- Part VIII Neuromuscular disorders and sleep
- Appendix: Epworth Sleepiness Scale
- Index
Case 34 - Clicking all night
from Part VII - Sleep-related movement disorders
Published online by Cambridge University Press: 10 November 2010
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Edited by
Book contents
- Case Studies in Sleep Neurology
- Case Studies in Sleep Neurology
- Copyright page
- Dedication
- Contents
- ContentsThe following cases described herein have been published previously
- Foreword
- Contributors
- Abbreviations
- Introduction
- Part I Sleep-related breathing disorders
- Part II Hypersomnias of central origin
- Part III Circadian rhythm disorders
- Part IV Parasomnias
- Part V Sleep-related epilepsy
- Part VI Sleep and stroke
- Part VII Sleep-related movement disorders
- Case 32 Violent tongue biting recurring during sleep
- Case 33 A child with behavioral problems and violent sleep behavior leading to trauma
- Case 34 Clicking all night
- Case 35 Repetitive arm movements
- Case 36 Restlessness and jerking upon recumbency when trying to fall asleep
- Case 37 Jumping and yelling while asleep
- Case 38 A case of attention deficit
- Part VIII Neuromuscular disorders and sleep
- Appendix: Epworth Sleepiness Scale
- Index
Summary
This chapter describes the case of a 45-year-old female homemaker who was admitted at the sleep clinic with symptoms of daytime fatigue, sleepiness and chronic headaches. It presents the clinical history, examination, follow-up, treatment, diagnosis, and the results of the procedures performed on the patient. A facial and oral examination revealed significant tenderness to palpation of the jaw muscles and the temporalis muscles. Nocturnal polysomnography (PSG), a basic metabolic work-up and a thyroid function test were carried out. Polysomnographic recording showed frequent episodes of sleep bruxism in the EMG channel that occurred during NREM light sleep. The principal diagnosis was bruxism. This case illustrates the complexity of symptoms in patients with bruxism such that they can be multiple and inter-related and therefore must be addressed with a comprehensive and multidisciplinary approach.
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- Case Studies in Sleep NeurologyCommon and Uncommon Presentations, pp. 242 - 247Publisher: Cambridge University PressPrint publication year: 2010