Neurology Opinion News
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.
Therapeutics to cool the brain may someday be a safer alternative to hypnotics.
In patients with paradoxical insomnia, also called sleep state misperception, there is a significant discrepancy between objective sleep quality and subjective perception of 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.
Patients with progressive supranuclear palsy may have difficulty with sleep/wake regulation that can lead to profound sleep deprivation.
It can be difficult to care for complex patients when they need services that do not exist.
A traumatic brain injury can change physical, cognitive, and emotional functioning, which can include changes in the patient's sleeping patterns.
Some well-known sleep disorders are associated with headaches, including sleep apnea and parasomnias.
Patients who experience nocturia, or frequent urination during the night, may have increased mortality rates.
Patients presenting with depression should be evaluated for sleep disorders.
Hyperarousal is linked to an increased likelihood of a patient using prescription sleep aids.
The sleep concerns of female patients are often diagnosed as depression rather than obstructive sleep apnea, leading to increased risks for certain diseases.
Patients who are sedentary, obese, or smokers have an increased risk of developing restless leg syndrome.
Understanding the link between vitamin D deficiency and obstructive sleep apnea can be challenging.
Although people who sleepwalk may injure themselves, they often do not feel pain until they are awake.
The Mallampati score is a simple, quick test that can be a good predictor of obstructive sleep apnea.
Look for symptoms like headaches, daytime sleepiness, and forgetfulness when diagnosing obstructive sleep apnea.
For patients who are gaining weight seemingly without cause, consider sleep-related eating disorders for a diagnosis.
Maintaining healthy vitamin D levels may benefit sleep and cardiovascular health in African-American patients.
The use of sleep apps is growing among patients, but the data they provide may not be reliable.
Teaching patients to practice good sleep hygiene can help them get the correct amount of sleep.
A study showed that sleep coregulation can occur in close, romantic relationships.
Whether to prescribe psychotropic medications in children with anxiety and sleep disorders is a common ethical dilemma faced by primary care providers.
Although an average of 8 hours is recommended, people may need to sleep more or less than that.
Nocturnal leg cramps are a relatively common complaint, but there is little research on treatments.
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.
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.
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.
Results of a twin study provide answers into the heritability or environmental influences related to insomnia.
A child's sleep issues may be directly related to his or her caretaker's parenting skills.
Patients who may be impaired by their medications or sleep disorders have a higher risk of fatal motor vehicle accidents.
CPAP treatment helps patients diagnosed with obstructive sleep apnea regain memory.
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.
Violent thrashing and attacks during sleep may be a sign of REM sleep behavior disorder.
Use these tips to help diagnose patients suspected of sleep disorders.
Slow wave sleep in hypnosis-suggestible females almost doubled after hearing a hypnotic suggestion.
Delayed sleep phase syndrome shifts circadian rhythms and sleep and wake times, making it more difficult for teens to get up early.
Psychophysiological insomnia affects more female patients than male and is uncommon in children.
Patients diagnosed with complicated grief and sleep disturbance have nearly double the risk of early death.
About 50% to 70% of patients diagnosed with anxiety report having difficulty sleeping.
The severity of sleep apnea has been correlated with frequency of nighttime bathroom visits.
Known for its powerful antioxidant properties, melatonin is secreted from the pineal gland and may play a roles in age-related diseases.
A form of parasomnia, sleep sex has only been a recognized disorder since 2003.
A patient with insomnia is dubbed a 'substance abuser' when seeking medication for his condition. But is this classification accurate?
Many with narcolepsy take multiple micro naps throughout the day when they are tired or bored, which can add up and disrupt nighttime sleep.
Individuals who get less sleep tend to eat more often and consume less healthful food.
Most military personnel is exposed to multiple explosions that may induce brain injuries and sleep problems.
Paying close attention to your patients' medications and how they relate to sleep symptoms aids in diagnosis and treatment.
Did you know that children with autism spectrum disorders (ASDs) have a 66% chance of having moderate sleep disturbances?
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.
Daytime sleepiness is not always a sign of obstructive sleep apnea or narcolepsy.
Sleep is important to the maturation of the brain and central nervous system, as well as future cognition, temperament, and psychomotor development.
Patients with REM sleep behavior disorder have a anatomic brain abnormality that prevents muscle atonia during sleep.
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.
As the U.S. population ages, clinicians can expect more geriatric patients seeking evaluation and treatment for sleep disorders.
Sleep disturbance evaluation should be a part of regular antepartum and postpartum visits.
A patient is concerned she may have a rare inherited sleep disorder.
Psychophysiological insomnia is a disorder that results from physiological arousal and learned sleep-preventing behaviors.
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.
Invented in the 1980s, continuous positive airway pressure technology is relatively new and continues to evolve and improve.
Not every noise made during sleep qualifies as a sleep talking. Learn about other sleep disorders that manifest vocally.
Remember to ask about caffeine and alcohol use when patients present with sleep complaints.
Unstructured play increases physical activity, provides stress relief and improves a child's ability to concentrate.
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.
Sleep bruxism is fairly common, affecting approximately 14% to 20% of children, but the condition generally improves with age.
Sleep medicine is a fascinating area of study with no shortage of potential patients.
Early recognition and treatment of sleep arousals could prevent the development of OSA.
If your patient complains of ongoing headaches, especially upon waking from sleep, consider obstructive sleep apnea as a possible cause.
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.
The next time a patient complains of sleep difficulties, tell them they are not alone.
Sleep talking is relatively common, but could it be a symptom of another health problem?
Shift workers fight a constant battle with their internal circadian rhythm that can cause complications ranging from excessive sleepiness to depression to cardiovascular disease.
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?
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.
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.
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.
Try bright light therapy before sleep medications or stimulants for patients with insomnia and circadian rhythm disorders.
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.
A patient visits the sleep clinic complaining of being awakened by a bomb-like noise.
Patients with sleep abnormalities are three- to five- times more likely to develop chronic pain from fibromyalgia, research shows.
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.
Women and children with obstructive sleep apnea are often misdiagnosed because they present differently than men.
A policeman that has experienced several falls at work illustrates the cardinal symptom in narcolepsy.
A young man visits the sleep clinic concerned about being terminated because he can't stay awake at work.
Combating daytime sleepiness is often as easy as turning off the TV before bed.
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.
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?
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.
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?
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.
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?
Children with attention deficit hyperactivity disorder (ADHD) and their families suffer most, as drug manufacturers produce fewer generic medications.
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?
National recommendations for SIDS prevention are too general and do not address individual environmental and cultural factors that may influence risk.
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.
A young athletes death draws attention to a serious injury that may be more prevalent than anyone thought.