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
- Part VIII Neuromuscular disorders and sleep
- Case 39 Snoring and leg cramps
- Case 40 “So tired I take naps in the morning”
- Appendix: Epworth Sleepiness Scale
- Index
Case 40 - “So tired I take naps in the morning”
from Part VIII - Neuromuscular disorders and sleep
Published online by Cambridge University Press: 10 November 2010
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
- Part VIII Neuromuscular disorders and sleep
- Case 39 Snoring and leg cramps
- Case 40 “So tired I take naps in the morning”
- Appendix: Epworth Sleepiness Scale
- Index
Summary
This chapter discusses the case of a 37-year-old man referred to the sleep center for evaluation of excessive daytime fatigue and sleepiness that had been present for several years. It presents the clinical history, examination, follow-up, treatment, diagnosis, and the results of the procedures performed on the patient. The polysomnography (PSG) evaluation showed abnormal results with an apnea-hypopnea index (AHI) of 77 events per hour of sleep. The diagnosis was obstructive sleep apnea (OSA) of severe intensity and Charcot-Marie-Tooth disease (CMT). The most common complaint is excessive daytime sleepiness (EDS) resulting from repeated arousals and sleep fragmentation caused by sleep-disordered breathing, hypoventilation, nocturnal hypoxemia or a combination of all three. Patients with CMT have a high prevalence of obstructive sleep apnea syndrome (OSAS). Phrenic nerve paralysis has also been reported in patients with CMT complicated with diabetes mellitus.
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- Information
- Case Studies in Sleep NeurologyCommon and Uncommon Presentations, pp. 281 - 286Publisher: Cambridge University PressPrint publication year: 2010