Neurology Opinion News

Might Coffee Be Causing Your Poor Sleep?

Although the beneficial effects of drinking coffee include increased mental alertness, stamina, muscle recovery, and wakefulness, unwanted effects can include restlessness, palpitations, hypertension, insomnia, tremors, and increased urine output.

Will a New Cooling Device Benefit Patients With Insomnia?

Therapeutics to cool the brain may someday be a safer alternative to hypnotics.

Discrepancy of Sleep in Patients with Paradoxical Insomnia

In patients with paradoxical insomnia, also called sleep state misperception, there is a significant discrepancy between objective sleep quality and subjective perception of sleep.

Frightening parasomnias of childhood sleep

Parasomnias usually occur in healthy children, but the differential can include neurologic, psychiatric, and mental disorders, so careful observation and a good history and physical are important.

Sleep wake regulation in progressive supranuclear palsy

Patients with progressive supranuclear palsy may have difficulty with sleep/wake regulation that can lead to profound sleep deprivation.

When patients need services that don't exist

It can be difficult to care for complex patients when they need services that do not exist.

Sleep disturbances after traumatic brain injury

A traumatic brain injury can change physical, cognitive, and emotional functioning, which can include changes in the patient's sleeping patterns.

Managing headaches in patients with sleep disorders

Some well-known sleep disorders are associated with headaches, including sleep apnea and parasomnias.

Increased mortality rates in patients with nocturia

Patients who experience nocturia, or frequent urination during the night, may have increased mortality rates.

OSA treatment linked to depression improvement

Patients presenting with depression should be evaluated for sleep disorders.

Hyperarousal and use of prescription sleep aids

Hyperarousal is linked to an increased likelihood of a patient using prescription sleep aids.

Increased risk of Parkinson disease in female patients with sleep apnea

The sleep concerns of female patients are often diagnosed as depression rather than obstructive sleep apnea, leading to increased risks for certain diseases.

Lifestyle changes can reduce risk of restless legs syndrome

Patients who are sedentary, obese, or smokers have an increased risk of developing restless leg syndrome.

Is obstructive sleep apnea linked to low levels of vitamin D?

Understanding the link between vitamin D deficiency and obstructive sleep apnea can be challenging.

Sleepwalkers don't feel pain during sleep

Although people who sleepwalk may injure themselves, they often do not feel pain until they are awake.

Understanding the Mallampati score

The Mallampati score is a simple, quick test that can be a good predictor of obstructive sleep apnea.

The other signs and symptoms of obstructive sleep apnea

Look for symptoms like headaches, daytime sleepiness, and forgetfulness when diagnosing obstructive sleep apnea.

Unexplained weight gain? Consider sleep-related eating disorders

For patients who are gaining weight seemingly without cause, consider sleep-related eating disorders for a diagnosis.

Vitamin D and improved sleep in African-Americans

Maintaining healthy vitamin D levels may benefit sleep and cardiovascular health in African-American patients.

Are smartphone apps helpful for sleep?

The use of sleep apps is growing among patients, but the data they provide may not be reliable.

Helping patients get enough sleep

Teaching patients to practice good sleep hygiene can help them get the correct amount of sleep.

Is sleeping with a partner helpful or hurtful?

A study showed that sleep coregulation can occur in close, romantic relationships.

Psychotropic medication use in children

Whether to prescribe psychotropic medications in children with anxiety and sleep disorders is a common ethical dilemma faced by primary care providers.

How much sleep do we really need?

Although an average of 8 hours is recommended, people may need to sleep more or less than that.

Overcoming nocturnal leg cramps

Nocturnal leg cramps are a relatively common complaint, but there is little research on treatments.

Visual hallucinations may not always mean mental illness

Patients with Charles Bonnet syndrome do not have mental illness or cognition problems and are very aware that they are seeing images that are not there.

Melatonin may help treat jet lag disorder

Jet lag occurs when there is a change in the circadian rhythm caused by a change in time zones and may be related to melatonin dysregulation.

Neck-to-waist ratio can help predict pediatric obstructive sleep apnea

Research from Canada demonstrated that a neck-to-waist ratio of >0.41 has sufficient sensitivity and specificity to be considered a predictor of obstructive sleep apnea.

Is insomnia inherited or learned?

Results of a twin study provide answers into the heritability or environmental influences related to insomnia.

Encourage better sleep hygiene for children

A child's sleep issues may be directly related to his or her caretaker's parenting skills.

Be careful of sleepy drivers

Patients who may be impaired by their medications or sleep disorders have a higher risk of fatal motor vehicle accidents.

Continuous positive airway pressure treatment may improve cognition

CPAP treatment helps patients diagnosed with obstructive sleep apnea regain memory.

More Americans having difficulty with sleep

The significant increase in the number of reported sleep-related conditions indicate a need to educate and understand sleep disorders in the primary-care setting.

How to identify REM sleep behavior disorder

Violent thrashing and attacks during sleep may be a sign of REM sleep behavior disorder.

Tips for choosing the right sleep tests

Use these tips to help diagnose patients suspected of sleep disorders.

Would you consider hypnotherapy for insomnia patients?

Slow wave sleep in hypnosis-suggestible females almost doubled after hearing a hypnotic suggestion.

A later start benefits teens' health

Delayed sleep phase syndrome shifts circadian rhythms and sleep and wake times, making it more difficult for teens to get up early.

Identifying patients with psychophysiological insomnia

Psychophysiological insomnia affects more female patients than male and is uncommon in children.

Consider grief's role in significant sleep disturbances

Patients diagnosed with complicated grief and sleep disturbance have nearly double the risk of early death.

Treating anxiety can improve patients' sleep

About 50% to 70% of patients diagnosed with anxiety report having difficulty sleeping.

Suspect OSA in patients with nocturia

The severity of sleep apnea has been correlated with frequency of nighttime bathroom visits.

Melatonin offers benefits beyond improving sleep

Known for its powerful antioxidant properties, melatonin is secreted from the pineal gland and may play a roles in age-related diseases.

Sleep sex disrupts a couple's relationship

A form of parasomnia, sleep sex has only been a recognized disorder since 2003.

Be mindful of patient bias

A patient with insomnia is dubbed a 'substance abuser' when seeking medication for his condition. But is this classification accurate?

Difficulty sleeping does not rule out narcolepsy

Many with narcolepsy take multiple micro naps throughout the day when they are tired or bored, which can add up and disrupt nighttime sleep.

Poor sleep promotes weight gain

Individuals who get less sleep tend to eat more often and consume less healthful food.

Traumatic brain injuries may cause sleep disturbances in soldiers

Most military personnel is exposed to multiple explosions that may induce brain injuries and sleep problems.

Mirtazapine linked to periodic limb movements of sleep

Paying close attention to your patients' medications and how they relate to sleep symptoms aids in diagnosis and treatment.

Treating sleep disturbances in patients with autism

Did you know that children with autism spectrum disorders (ASDs) have a 66% chance of having moderate sleep disturbances?

Recognizing and treating PTSD in primary care

As more military personnel return to the United States with PTSD symptoms, now is the perfect time to refresh our knowledge on treating this disorder.

Managing idiopathic hypersomnia

Daytime sleepiness is not always a sign of obstructive sleep apnea or narcolepsy.

Sleep affects infant development and temperament

Sleep is important to the maturation of the brain and central nervous system, as well as future cognition, temperament, and psychomotor development.

Treating patients who act out their dreams

Patients with REM sleep behavior disorder have a anatomic brain abnormality that prevents muscle atonia during sleep.

Prescribing sleep aids wisely

Time demands may make it easier to give a patient a sleep aid the first time they ask, but it isn't always the best practice.

Treating sleep disorders in the geriatric population

As the U.S. population ages, clinicians can expect more geriatric patients seeking evaluation and treatment for sleep disorders.

Screen expecting mothers for sleep problems

Sleep disturbance evaluation should be a part of regular antepartum and postpartum visits.

Can a patient die from insomnia?

A patient is concerned she may have a rare inherited sleep disorder.

Can insomnia be learned from a family member?

Psychophysiological insomnia is a disorder that results from physiological arousal and learned sleep-preventing behaviors.

Consider nocturnal seizures when evaluating a patient for parasomnias

Since health-care providers rarely see cases involving nocturnal seizures, it can easily be confused with parasomnias, including confusional arousals, cataplexy and REM sleep behavior disorder.

A love-hate relationship with CPAP

Invented in the 1980s, continuous positive airway pressure technology is relatively new and continues to evolve and improve.

A bed partner who groans during sleep

Not every noise made during sleep qualifies as a sleep talking. Learn about other sleep disorders that manifest vocally.

Substance addiction may influence patients' sleep patterns

Remember to ask about caffeine and alcohol use when patients present with sleep complaints.

Why play is good for children

Unstructured play increases physical activity, provides stress relief and improves a child's ability to concentrate.

Untreated obstructive sleep apnea takes economic toll

Costs associated with untreated OSA range from $65 and $165 billion -- greater than the total cost of managing asthma, heart failure, stroke and hypertension combined.

What's that sound? Discerning sleep bruxism

Sleep bruxism is fairly common, affecting approximately 14% to 20% of children, but the condition generally improves with age.

Consider a job in sleep medicine

Sleep medicine is a fascinating area of study with no shortage of potential patients.

Sleep apnea is not the only illness that may cause disordered breathing

Early recognition and treatment of sleep arousals could prevent the development of OSA.

Could a sleep disorder be causing your patient's migraines?

If your patient complains of ongoing headaches, especially upon waking from sleep, consider obstructive sleep apnea as a possible cause.

Using a sleep diary to track patient progress

A sleep diary can objectively assess whether a sleep aid has been helpful, as well as problem areas for further discussion during sleep hygiene counseling.

Animals have sleep disorders, too

The next time a patient complains of sleep difficulties, tell them they are not alone.

Making sense of somniloquy

Sleep talking is relatively common, but could it be a symptom of another health problem?

Identifying and treating patients with shift work disorder

Shift workers fight a constant battle with their internal circadian rhythm that can cause complications ranging from excessive sleepiness to depression to cardiovascular disease.

Suspect post-polio syndrome in older patients with OSA

As the population ages remember that patients who are in their late 50s or older may have had polio as a child. Are you prepared to recognize post-polio syndrome symptoms?

Managing sleep issues in patients with chronic pain

A night with inadequate sleep may result in increased pain the next day, which may disrupt sleep even further. Learn how to help patients break this detrimental cycle.

Is a child's snoring the root cause of his ADHD?

Unrefreshing sleep can lead to prefrontal cortical dysfunction. In children, this can manifest as behavioral problems, difficulty controlling emotions and difficulty with attention and hyperactivity.

Is medication causing your patient's insomnia?

Many medications can cause or worsen insomnia. It is important to ask patients when their symptoms started and if they began occurring after initiating a new medication.

Treating sleep disorders with bright light therapy

Try bright light therapy before sleep medications or stimulants for patients with insomnia and circadian rhythm disorders.

Counsel patients about sleep debt's role in diabetes

Chronic sleep deprivation lowers the resting metabolic rate, which can lead to a defect in insulin resistance, and may explain one reason why diabetes prevalence is increasing.

Exploding head syndrome or SSRI withdrawal?

A patient visits the sleep clinic complaining of being awakened by a bomb-like noise.

Detecting sleep abnormalities early helps reduce fibromyalgia risk

Patients with sleep abnormalities are three- to five- times more likely to develop chronic pain from fibromyalgia, research shows.

Differentiating between restless leg syndrome and other disorders

Being able to tell the difference between restless leg syndrome and conditions with similar symptoms can speed up diagnoses and help improve patients' quality of life more quickly.

Recognizing obstructive sleep apnea

Women and children with obstructive sleep apnea are often misdiagnosed because they present differently than men.

Differentiating between cataplexy and seizures

A policeman that has experienced several falls at work illustrates the cardinal symptom in narcolepsy.

What's causing a patient's overwhelming urge to sleep?

A young man visits the sleep clinic concerned about being terminated because he can't stay awake at work.

Simple solutions for a common sleep complaint

Combating daytime sleepiness is often as easy as turning off the TV before bed.

Is there a clinical explanation for the lazy teenager?

Patients with delayed sleep phase syndrome are often labeled negatively. Being out of sync with the rest of the world can lead to frustration and depression.

Violent sleep bouts: An early sign of Parkinson's disease?

A normally quit, older man who has been happily married for 50 years fights battles in his sleep and awakes to find his wife beaten and bruised. What could be the cause?

Is midnight snacking a bad habit or a bona fide sleep disorder?

Many people may awaken during the night and grab a midnight snack, but patients with sleep-related eating disorders are unaware of their behavior until they find remnants of their meal the next morning.

Polysomnography vs. the home sleep study: Which is better?

Insurance carriers are pushing harder for patients to have unattended home sleep studies versus in-lab polysomnograms. But is it the best care for the patient?

Watching the clock can worsen insomnia

People who have trouble sleeping are more likely to keep track of the time that passes, creating a heightened sense of anxiety. These easy tips will make your patient's insomnia disappear more quickly than counting sheep.

A weary patient discusses a frightening sleep experience

An otherwise healthy patient awakes unable to breath or move, with the sensation that someone is in the room with her. Is it a sleep disorder or a psychiatric condition?

Supply and demand imbalance to blame for attention deficit drug shortage

Children with attention deficit hyperactivity disorder (ADHD) and their families suffer most, as drug manufacturers produce fewer generic medications.

Busting sleep myths to prevent SIDS in vulnerable populations

Does the supine position increase an infant's choking risk? Are babies really more comfortable sleeping on their bellies? At what age do pacifiers lead to dental problems?

Personalizing SIDS prevention: Take individual sleeping habits into account

National recommendations for SIDS prevention are too general and do not address individual environmental and cultural factors that may influence risk.

Take sleep histories during adolescent well visits

Do your adolescent patients report feeling tired and sleepy at school? Remember that the recommended sleep requirement for this age group is nine to 10 hours a night.

Don't let my mom read this

A young athletes death draws attention to a serious injury that may be more prevalent than anyone thought.

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