sleep Flashcards
PLMS?
nocturnal counterpart to RLS
periodic limb movements in sleep
RLS is caused by…
dopamine deficiency
Familial
RLS can present how?
during sleep or when awake
both legs and arms
can be misdiagnosed as ADHA
RLS is different form PLMS?
PLMS presents during sleep mostly
what other conditions can occur with RLS?
peripheral neuropathy renal disease radiculopathy pregnancy decreased iron stores can cause concurrent use with SSSRI
what is the treatment for RLS?
behavioral: exercise, reduce caffeine and nicotine
nutritional: correct Fe stores and B12 def
medications: dopamie agonists, benzodiazepenes and opiods
the pharm treatment for RLS is similar to what other neuro disease?
parkinson’s drugs
what population is predisposed to RLS?
older population (more common with increasing age) pregnant renal disease familial clusters can happen in children dopamine deficient state
when to non-REM disorders (parasomnias) occur?
during the first half of the night, SWS sleep more during early night
What is an example of non-REM parasomnia?
sleep walking, sleep talking, night terrors
sleep apnea has what symptoms?
ADHD symptoms snoring day time sleepiness frequency ENT infections children can be small for their age
what is a possible cause of sleep apnea?
large tonsils and adenoids
what are some symptoms of delayed sleep phase syndrome?
teens or twenties onset
inability to fall asleep and arise at conventional time (late bed time, late rise)
not just behavioral or lifestyle
What are signs of early sleep phase syndrome?
happens in elderly normally
early to bed early to rise
genetic component
