Table Of Contents:

Fundamentals of Sleep Medicine 1: Sleep Stages and Electroencephalographic Patterns
1. A 30-year-old man taking a hypnotic nightly
2. A 30-year-old man with insomnia

Fundamentals of Sleep Medicine 2: Electroencephalographic Lead Placement
3. A 50-year-old man with insomnia

Fundamentals of Sleep Medicine 3: Eye Movement Monitoring

Fundamentals of Sleep Medicine 4: Eye Movement Patterns
4. A 20-year-old man with excessive daytime sleepiness

Fundamentals of Sleep Medicine 5: Chin (Submental) Electromyography
5. A 40-year-old man experiencing difficulty falling asleep
6. A 30-year-old woman having trouble falling asleep
7. A 30-year-old man having difficulty staying awake during the day
8. A 35-year-old woman with insomnia
9. A 25-year-old man with a history of sleep-walking
10. A 20-year-old man with daytime sleepiness
11. A 40-year-old man with a history of snoring and daytime sleepiness
12. A 34-year-old man with sleep disturbance
13. A 22-year-old woman with frequent awakenings during sleep secondary to chronic pain
14. A 40-year-old man being treated for depression

Fundamentals of Sleep Medicine 6: Additional Sleep Staging Rules
15. A 30-year-old man with severe snoring and occasional breathing lapses
16. A 35-year-old woman experiencing uncontrollable episodes of sleep

Fundamentals of Sleep Medicine 7: Sleep Architecture Definitions
17. A 23-year-old man with difficulty sleeping
18. A 25-year-old man with daytime sleepiness and fatigue

Fundamentals of Sleep Medicine 8: Polysomnography
19. A 30-year-old man having difficulty staying awake during the day
20. A 25-year-old man complaining of excessive daytime sleepiness
21. A 30-year-old man with loud snoring
22. A 40-year-old man with complaints of snoring
23. Two patients with recording artifacts
24. A 29-year-old man struggling with daytime sleepiness

Fundamentals of Sleep Medicine 9: Multiple Sleep Latency Test and Maintenance of Wakefulness Test
25. A 25-year-old man with daytime sleepiness

Fundamentals of Sleep Medicine 10: Monitoring Respiration During Sleep
26. A 45-year-old man with possible sleep apnea
27. A 50-year-old man with possible central apnea
28. A 30-year-old man with heavy snoring
29. A 33-year-old man complaining of daytime sleepiness

Fundamentals of Sleep Medicine 11: Excessive Daytime Sleepiness
30. A 45-year-old man with a snoring problem
31. A 40-year-old woman with “mild” sleep apnea

Fundamentals of Sleep Medicine 12: Respiratory Arousals
32. A 30-year-old woman with severe fatigue
33. A 30-year-old man with heavy snoring and daytime sleepiness
34. A 45-year-old man with a distinct pattern of desaturation

Fundamentals of Sleep Medicine 13: Treatment of Obstructive Sleep Apnea
35. A 30-year-old man with weight loss and sleep apnea

Fundamentals of Sleep Medicine 14: Positive Airway Pressure Titration
36. A 55-year-old man with heavy nighttime snoring and daytime sleepiness
37. A 50-year-old man with problems during a CPAP titration
38. A patient refusing to accept treatment for obstructive sleep apnea

Fundamentals of Sleep Medicine 15: Positive Pressure Airway Treatment: Improving Acceptance & Adherence
40. A 55-year-old man with obstructive sleep apnea still sleepy on nasal CPAP
41. A 50-year-old man unable to sleep on CPAP due to mask leak and claustrophobia
42. A 55-year-old man having difficulty with CPAP because of nasal congestion
43. A 30-year-old man unable to tolerate nasal CPAP because of “too much pressure”
44. A 55-year-old man unable to use nasal CPAP due to intractable nasal congestion
45. A 45-year-old man with intolerance to nasal CPAP because of difficulty exhaling
46. A 60-year-old man with a suboptimal CPAP titration
47. A 55-year-old obese man with desaturation during a nasal CPAP trial
48. A 30-year-old woman with fatigue and mild daytime sleepiness
49. A 50-year-old man with a return of snoring 6 months after uvulopalatopharyngo-plasty
50. A 55-year-old man with severe daytime sleepiness and limited treatment options
51. A 40-year-old man with sleep apnea unable to tolerate nasal CPAP
52. A 45-year-old man still experiencing daytime sleepiness after uvulopalatopharyngo-plasty
53. A 50-year-old man needing objective confirmation of his ability to stay awake
54. A 45-year-old man falling asleep at the wheel while driving
55. A 30-year-old man with severe snoring
56. A 30-year-old choir singer with heavy snoring
57. A 50-year-old man with severe hypertension
58. A 55-year-old man with premature ventricular contractions during sleep
59. A 30-year-old pregnant woman with onset of snoring
60. A 45-year-old man with snoring and hypercapnia
61. A 55-year-old man with hypercapnic respiratory failure
62. A 57-year-old man with severe obstructive sleep apnea treated with oxygen
63. A 5-year-old child with behavior problems
64. A 6-year-old boy with large tonsils
65. A 20-year-old woman with daytime sleepiness since childhood
66. A 55-year-old man with chronic obstructive pulmonary disease and nocturnal desaturation
67. A 60-year-old man with leg swelling
68. A 55-year-old man with chronic obstructive pulmonary disease and severe pedal edema
69. A 60-year-old “pink puffer” with insomnia
70. A 52-year-old man with chronic obstructive pulmonary disease and pedal edema
71. A 35-year-old woman with asthma and poor sleep at night

Fundamentals of Sleep Medicine 16: Central Sleep Apnea
72. A 58-year-old man with daytime sleepiness
73. A 55-year-old man with central sleep apnea
74. A 70-year-old man with daytime sleepiness and pedal edema
75. A 60-year-old man with severe congestive heart failure and daytime sleepiness
76. A 60-year-old man with obstructive sleep apnea and numerous central apneas on CPAP
77. A 12-year-old boy with daytime CO2 retention
78. A 75-year-old man with a history of polio

Fundamentals of Sleep Medicine 17: The Restless Leg Syndrome and Periodic Leg Movements in Sleep
79. A 50-year-old man with snoring and leg kicks
80. A 56-year-old man with crawling sensations in his legs at bedtime
81. A 40-year-old man who kicks in his sleep
82. A 50-year-old man who kicks during sleep
83. A 72-year-old man with worsening symptoms during treatment for restless legs
84. A 58-year-old man with sleep apnea and leg jerks during sleep

Fundamentals of Sleep Medicine 18: Narcolepsy
85. A 30-year-old man with daytime sleepiness and episodes of weakness
86. A 23-year-old man with daytime sleepiness, but no symptoms of cataplexy
87. A 25-year-old man with narcolepsy who is still sleepy on medication
88. A 25-year-old man with frequent episodes of cataplexy
89. A 24-year-old man with narcolepsy who was irritable and lost weight on methylphenidate
90. A 35-year-old man with sleep apnea and a short REM latency
91. A 40-year-old man with sleep apnea and persistent daytime sleepiness
92. A 35-year-old man requesting stimulant medication
93. A 64-year-old man with daytime sleepiness since age 21
Fundamentals of Sleep Medicine 19: Parasomnias
94. A 20-year-old man with severe “nightmares”
95. A 25-year-old woman walking in her sleep
96. A 55-year-old man with violent dreams
97. A 50-year-old man with an interesting chin EMG

Fundamentals of Sleep Medicine 20: Monitoring for Nocturnal Seizures
98. A 55-year-old man with unusual movements during sleep
99. A 60-year-old man with a rhythmic EEG pattern during a CPAP titration
100. A 30-year-old man who got out of bed during sleep

Fundamentals of Sleep Medicine 21: Evaluation of Insomnia
101. A 30-year-old woman having difficulty falling asleep
102. A 30-year-old woman with insomnia
103. A 40-year-old man with difficulty falling asleep after the death of his brother

Fundamentals of Sleep Medicine 22: Circadian Sleep Disorders
104. A 40-year-old woman complaining of difficulty falling asleep
105. A 70-year-old man with early morning awakening
106. A 44-year-old man with jet lag
107. A 40-year-old woman with fibromyalgia
108. A 40-year-old woman with fatigue and disturbed sleep
109. A 45-year-old man with persistent insomnia while on treatment for depression
110. A 45-year-old man with hyperphagia and hypersomnia
111. A 50-year-old veteran of the Vietnam War with upsetting dreams
112. A 40-year-old woman with terrifying awakenings