Apnea, Snoring, Narcolepsy,
BRINGING SECRETS OF THE NIGHT TO THE LIGHT
Insomnia and Other Sleep Disorders.
THE SLEEP SITE
Understanding the symptoms of sleep
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SLEEPINESS - 2.
How can the causes
of sleepiness be defined?
CAREFUL HISTORY COMES FIRST!--AND IT SHOULD INVOLVE:
-Analysis of specific
symptoms, such as those related to disturbances
of REM sleep.
-Looking for possible life events, medications, other illnesses
and any other factors that may have
been factors in causing or aggravating the problem.
PHYSICAL EXAMINATION SHOULD BE PERFORMED.
-Specific abnormalities should be sought that could help
identify the likely cause of the person's
-Certain diagnostic tests may be helpful. For example, exclusion
of abnormal thyroid function is
important, since hypothyroidism (which can cause or worsen sleepiness)
is both common and treatable.
CENTER STUDIES ARE VITAL IN MOST CASES--PARTICULARLY IN VIEW
OF THE EXTRAORDINARY PREVALENCE OF SLEEP
APNEA, AND THE FACT
THAT SLEEP APNEA CAN PROVE DANGEROUS IF NOT DIAGNOSED AND TREATED.
-In all cases, monitoring of overnight sleep (polysomnography)
is important: to look for a wide variety of possible factors that
could be making sleep ineffective. Sleep
stages, breathing, heart rhythm and leg movements are among the
most basic parameters routinely measured, and a number of additional
body functions should be evaluated concurrently if warranted.
if the individual's sleepiness has arisen not from disturbed
sleep, but instead, from abnormalities in brain mechanisms
responsible for maintaining alertness, an additional test (the
multiple sleep latency test or MSLT) is performed. It involves
monitoring of four or five brief nap sessions during the day following
an overnight polysomnogram: to determine how rapidly the patient
falls asleep, and to look for the inappropriate
occurrence of REM sleep in multiple naps (which can
suggest narcolepsy and
Sleep center studies are safe to the point they can even be done
in small infants!--and the amount of valuable information that
they provide is often astounding. They frequently are the essential
keys to resolving serious problems of impaired alertness.
here to contact us.
THE SLEEP SITE NAVIGATOR MENU
ON SPECIFIC SLEEP DISORDERS
FAMILIES AND FRIENDS
FOR MORE INFORMATION:
COLUMBUS COMMUNITY HEALTH
REGIONAL SLEEP DISORDERS CENTER
Accredited by the American Academy
of Sleep Medicine.
Robert W. Clark, M.D., Medical Director
1430 South High Street, Columbus OH 43207
Tel:  443-7800
Fax:  443-6960
© Copyright 2006 Robert W. Clark M.D. Inc.