Insomnia other diagnostic studies: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Insomnia}} | {{Insomnia}} | ||
{{CMG}} | {{CMG}} ; {{AE}} {{Adnan Ezici}} | ||
==Overview== | ==Overview== | ||
Other diagnostic studies for insomnia include [[polysomnography]], which demonstrates findings of underlying sleep disorders such as obstructive sleep apnea, and periodic limb movement disorder; multiple sleep latency test, which demonstrates mean [[sleep latency]] ≤8 min with at least 2 sleep-onset REM periods in patients with narcolepsy; and actigraphy, which demonstrates increased [[sleep onset latency]], increased wake after sleep onset, increased total sleep time, increased number of wakings during night, and decreased sleep efficiency. | |||
==Other Diagnostic Studies== | ==Other Diagnostic Studies== | ||
Other diagnostic studies for insomnia include: | |||
*[[Polysomnography]], which demonstrates:<ref name="urlPolysomnography and Sleep Disorders | SpringerLink">{{cite web |url=https://link.springer.com/chapter/10.1007/978-1-59745-271-7_23 |title=Polysomnography and Sleep Disorders | SpringerLink |format= |work= |accessdate=}}</ref><ref name="pmid31277862">{{cite journal |vauthors=Rundo JV, Downey R |title=Polysomnography |journal=Handb Clin Neurol |volume=160 |issue= |pages=381–392 |date=2019 |pmid=31277862 |doi=10.1016/B978-0-444-64032-1.00025-4 |url=}}</ref> | |||
**In patients with [[obstructive sleep apnea]] | |||
***Five or more [[apneas]], hypopneas or arousal due to [[respiratory]] effort per hour of sleep and a respiratory effort during these events | |||
**In patients with [[periodic limb movement disorder]] | |||
***Stereotyped limb movements during sleep | |||
****Takes 0.5 - 5 seconds | |||
****Amplitude ≥25% of toe dorsiflexion while the calibration occurs | |||
****Sequence of at least 4 movements | |||
****Duration of (5-90)sec between intervals | |||
*[[Multiple sleep latency test]], which demonstrates:<ref name="pmid31277864">{{cite journal |vauthors=Arand DL, Bonnet MH |title=The multiple sleep latency test |journal=Handb Clin Neurol |volume=160 |issue= |pages=393–403 |date=2019 |pmid=31277864 |doi=10.1016/B978-0-444-64032-1.00026-6 |url=}}</ref> | |||
**In patients with [[narcolepsy]] | |||
***Mean [[sleep latency]] ≤8 min with at least 2 sleep-onset REM periods | |||
*[[Actigraphy]], which demonstrates:<ref name="pmid21237680">{{cite journal |vauthors=Sadeh A |title=The role and validity of actigraphy in sleep medicine: an update |journal=Sleep Med Rev |volume=15 |issue=4 |pages=259–67 |date=August 2011 |pmid=21237680 |doi=10.1016/j.smrv.2010.10.001 |url=}}</ref> | |||
**In patients with insomnia | |||
***Increased [[sleep onset latency]] | |||
***Increased wake after sleep onset | |||
***Increased total sleep time | |||
***Increased number of wakings during night | |||
***Decreased sleep efficiency | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Latest revision as of 17:39, 2 July 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Adnan Ezici, M.D[2]
Overview
Other diagnostic studies for insomnia include polysomnography, which demonstrates findings of underlying sleep disorders such as obstructive sleep apnea, and periodic limb movement disorder; multiple sleep latency test, which demonstrates mean sleep latency ≤8 min with at least 2 sleep-onset REM periods in patients with narcolepsy; and actigraphy, which demonstrates increased sleep onset latency, increased wake after sleep onset, increased total sleep time, increased number of wakings during night, and decreased sleep efficiency.
Other Diagnostic Studies
Other diagnostic studies for insomnia include:
- Polysomnography, which demonstrates:[1][2]
- In patients with obstructive sleep apnea
- Five or more apneas, hypopneas or arousal due to respiratory effort per hour of sleep and a respiratory effort during these events
- In patients with periodic limb movement disorder
- Stereotyped limb movements during sleep
- Takes 0.5 - 5 seconds
- Amplitude ≥25% of toe dorsiflexion while the calibration occurs
- Sequence of at least 4 movements
- Duration of (5-90)sec between intervals
- Stereotyped limb movements during sleep
- In patients with obstructive sleep apnea
- Multiple sleep latency test, which demonstrates:[3]
- In patients with narcolepsy
- Mean sleep latency ≤8 min with at least 2 sleep-onset REM periods
- In patients with narcolepsy
- Actigraphy, which demonstrates:[4]
- In patients with insomnia
- Increased sleep onset latency
- Increased wake after sleep onset
- Increased total sleep time
- Increased number of wakings during night
- Decreased sleep efficiency
- In patients with insomnia
References
- ↑ "Polysomnography and Sleep Disorders | SpringerLink".
- ↑ Rundo JV, Downey R (2019). "Polysomnography". Handb Clin Neurol. 160: 381–392. doi:10.1016/B978-0-444-64032-1.00025-4. PMID 31277862.
- ↑ Arand DL, Bonnet MH (2019). "The multiple sleep latency test". Handb Clin Neurol. 160: 393–403. doi:10.1016/B978-0-444-64032-1.00026-6. PMID 31277864.
- ↑ Sadeh A (August 2011). "The role and validity of actigraphy in sleep medicine: an update". Sleep Med Rev. 15 (4): 259–67. doi:10.1016/j.smrv.2010.10.001. PMID 21237680.