Abstract
The physician's ability to evaluate a patient's sleep performance objectively and to study a variety of physiological functions and diseases while that patient is asleep has focused attention on sleep studies (polysomnography) as a clinically useful investigative tool. The author of this article briefly reviews the normal evolution of sleep and the classification of sleep disorders, and outlines procedures commonly used by staff of sleep-disorder clinics to assess patients.
Keywords: sleep laboratory, sleep research, polysomnography
Full text
PDF



Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Ancoli-Israel S., Kripke D. F., Mason W., Kaplan O. J. Sleep apnea and periodic movements in an aging sample. J Gerontol. 1985 Jul;40(4):419–425. doi: 10.1093/geronj/40.4.419. [DOI] [PubMed] [Google Scholar]
- Carskadon M. A., Dement W. C. Daytime sleepiness: quantification of a behavioral state. Neurosci Biobehav Rev. 1987 Fall;11(3):307–317. doi: 10.1016/s0149-7634(87)80016-7. [DOI] [PubMed] [Google Scholar]
- Coleman R. M., Roffwarg H. P., Kennedy S. J., Guilleminault C., Cinque J., Cohn M. A., Karacan I., Kupfer D. J., Lemmi H., Miles L. E. Sleep-wake disorders based on a polysomnographic diagnosis. A national cooperative study. JAMA. 1982 Feb 19;247(7):997–1003. [PubMed] [Google Scholar]
- Fleming J. A., Fleetham J. A., Taylor D. R., Remick R. A. A case report of obstructive sleep apnea in a patient with bipolar affective disorder. Can J Psychiatry. 1985 Oct;30(6):437–439. doi: 10.1177/070674378503000613. [DOI] [PubMed] [Google Scholar]
- Garvey M. J., Tollefson G. D. Occurrence of myoclonus in patients treated with cyclic antidepressants. Arch Gen Psychiatry. 1987 Mar;44(3):269–272. doi: 10.1001/archpsyc.1987.01800150081010. [DOI] [PubMed] [Google Scholar]
- Guilleminault C. Obstructive sleep apnea. The clinical syndrome and historical perspective. Med Clin North Am. 1985 Nov;69(6):1187–1203. doi: 10.1016/s0025-7125(16)30982-8. [DOI] [PubMed] [Google Scholar]
- Kales A., Vela-Bueno A., Kales J. D. Sleep disorders: sleep apnea and narcolepsy. Ann Intern Med. 1987 Mar;106(3):434–443. doi: 10.7326/0003-4819-106-3-434. [DOI] [PubMed] [Google Scholar]
- Kupfer D. J., Foster F. G., Coble P., McPartland R. J., Ulrich R. F. The application of EEG sleep for the differential diagnosis of affective disorders. Am J Psychiatry. 1978 Jan;135(1):69–74. doi: 10.1176/ajp.135.1.69. [DOI] [PubMed] [Google Scholar]
- Moldofsky H., Tullis C., Quance G., Lue F. A. Nitrazepam for periodic movements in sleep (sleep-related myoclonus). Can J Neurol Sci. 1986 Feb;13(1):52–54. doi: 10.1017/s0317167100035794. [DOI] [PubMed] [Google Scholar]
- Nicassio P. M., Pate J. K., Mendlowitz D. R., Woodward N. Insomnia: nonpharmacologic management by private practice physicians. South Med J. 1985 May;78(5):556–560. doi: 10.1097/00007611-198505000-00015. [DOI] [PubMed] [Google Scholar]
- Orr W. C., Hall W. H., Stahl M. L., Durkin M. G., Whitsett T. L. Sleep patterns and gastric acid secretion in duodenal ucler disease. Arch Intern Med. 1976 Jun;136(6):655–660. [PubMed] [Google Scholar]
- Rosenthal N. E., Sack D. A., Gillin J. C., Lewy A. J., Goodwin F. K., Davenport Y., Mueller P. S., Newsome D. A., Wehr T. A. Seasonal affective disorder. A description of the syndrome and preliminary findings with light therapy. Arch Gen Psychiatry. 1984 Jan;41(1):72–80. doi: 10.1001/archpsyc.1984.01790120076010. [DOI] [PubMed] [Google Scholar]