Diagnosis and Treatment of all Sleep Disorders

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  Contact : 925-685-4224

Beware of Sleep Disorders

We sleep approximately 8h of each 24-h cycle, that is 1/3rd of our life;

But sleep disorders are often neglected by patients and doctors compared to other medical illness, because

  • Patients are often keeping the problem of sleep as personal and private issue.
  • They may be unaware of sleep disorder causing their abnormal movements at night, or of obstructive sleep apneas.
  • Sleep related symptoms are often attributed to be normal in life.
  • ‘Tiredness’, may be thought to be due to old age, stress, shift work or overwork, rather than to a sleep disorder.
  • Medical and other healthcare professionals are generally less aware of sleep.
  • Doctors examine while the patient is awake so that direct observation of a sleep disorder by the doctor is unusual.
  • Medical schools do not give importance to sleep disorders, because sleep medicine is a new science

Classifications

Classification of sleep disorders: ICSD-2

There are eight main types of sleep disorders. Each type has sub-types as well.

  1. Insomnia
  2. Sleep Related Breathing Disorders
  3. Hypersomnias of Central Origin
  4. Circadian Rhythm Sleep Disorders
  5. Parasomnias
  6. Sleep Related Movement Disorders
  7. Isolated Symptoms, Apparently Normal Variants and Unresolved Issues
  8. Other Sleep Disorder

Insomnia

Sub-types of Insomnia

  • Adjustment Insomnia (Acute Insomnia)
  • Psychophysiological Insomnia
  • Paradoxical Insomnia
  • Idiopathic Insomnia
  • Insomnia Due to Mental Disorder
  • Inadequate Sleep Hygiene
  • Behavioral Insomnia of Childhood
  • Insomnia Due to Drug or Substance
  • Insomnia Due to Medical Condition
  • Insomnia Not Due to Substance or Known Physiological Condition
  • Unspecified (Nonorganic Insomnia, NOS)
  • Physiological (Organic) Insomnia, Unspecified

Sub-types of Sleep related breathing disorders

  • Central Sleep Apnea Syndromes
    • Primary Central Sleep Apnea
    • Central Sleep Apnea Due to Cheyne Stokes Breathing Pattern
    • Central Sleep Apnea Due to High-Altitude Periodic Breathing
    • Central Sleep Apnea Due to Medical Condition Not Cheyne Stokes
    • Central Sleep Apnea Due to Drug or Substance
    • Primary Sleep Apnea of Infancy (Formerly Primary Sleep Apnea of Newborn)
  • Obstructive Sleep Apnea Syndromes
    • Obstructive Sleep Apnea, Adult
    • Obstructive Sleep Apnoea, Pediatric
  • Sleep Related Hypoventilation/Hypoxemic Syndromes
    • Sleep Related Nonobstructive Alveolar Hypoventilation, Idiopathic
    • Congenital Central Alveolar Hypoventilation Syndrome
  • Sleep Related Hypoventilation/Hypoxemia Due to Medical Condition
    • Sleep Related Hypoventilation/Hypoxemia Due to Pulmonary Parenchymal or Vascular Pathology
    • Sleep Related Hypoventilation/Hypoxemia Due to Lower Airways Obstruction
    • Sleep Related Hypoventilation/Hypoxemia Due to Neuromuscular and Chest Wall Disorders
  • Other Sleep Related Breathing Disorder
    • Sleep Apnea/Sleep Related Breathing Disorder, Unspecified

Sub-types of Hypersomnia

  • Narcolepsy With Cataplexy
  • Narcolepsy Without Cataplexy
  • Narcolepsy Due to Medical Condition
  • Narcolepsy, Unspecified
  • Recurrent Hypersomnia
    • Kleine-Levin Syndrome
    • Menstrual-Related Hypersomnia
  • Idiopathic Hypersomnia With Long Sleep Time
  • Idiopathic Hypersomnia Without Long Sleep Time
  • Behaviorally Induced Insufficient Sleep Syndrome
  • Hypersomnia Due to Medical Condition
  • Hypersomnia Due to Drug or Substance
  • Hypersomnia Not Due to Substance or Known Physiological Condition (Nonorganic Hypersomnia, NOS)
  • Physiological (Organic) Hypersomnia, Unspecified (Organic Hypersomina, NOS)

Sub-types of Circadian Disorders

  • Circadian Rhythm Sleep Disorder, Delayed Sleep Phase Type (Delayed Sleep Phase Disorder)
  • Circadian Rhythm Sleep Disorder, Advanced Sleep Phase Type (Advanced Sleep Phase Disorder)
  • Circadian Rhythm Sleep Disorder, Irregular Sleep-Wake Type (Irregular Sleep-Wake Rhythm)
  • Circadian Rhythm Sleep Disorder, Free-Running Type (Nonentrained Type)
  • Circadian Rhythm Sleep Disorder, Jet Lag Type (Jet Lag Disorder)
  • Circadian Rhythm Sleep Disorder, Shift Work Type (Shift Work Disorder)
  • Circadian Rhythm Sleep Disorder Due to Medical Condition
  • Other Circadian Rhythm Sleep Disorder (Circadian Rhythm Disorder, NOS)
  • Other Circadian Rhythm Sleep Disorder Due to Drug or Substance

Sub-types of Parasomnias

  • Disorders of Arousal (From NREM Sleep)
    • Confusional Arousals
    • Sleepwalking
    • Sleep Terrors
  • Parasomnias Usually Associated With REM Sleep
    • REM Sleep behavior Disorder (Including Overlap Disorder and Status Dissociatus)
    • Recurrent Isolated Sleep Paralysis
    • Nightmare Disorder
  • Other Parasomnias
    • Sleep Related Dissociative Disorders
    • Sleep Enuresis
    • Sleep Related Groaning (Catathrenia)
    • Exploding Head Syndrome
    • Sleep Related
      Hallucinations
    • Sleep Related Eating Disorders
    • Parasomnia, Unspecified
    • Parasomnia Due to Drug or Substance
    • Parasomnia Due to Medical Condition

Sub-types of sleep related movement disorders

  • Restless Legs Syndrome
  • Periodic Limb Movement Disorder
  • Sleep Related Leg Cramps
  • Sleep Related Bruxism
  • Sleep Related Rhythmic Movement Disorder
  • Sleep Related Movement Disorder, Unspecified
  • Sleep Related Movement Disorder Due to Drug or Substance
  • Sleep Related Movement Disorder Due to Medical Condition

Sub-types of isolated sleep disorders

  • Long Sleeper
  • Short Sleeper
  • Snoring
  • Sleep Talking
  • Sleep Starts (Hypnic Jerks)
  • Benign Sleep Myoclonus of Infancy
  • Hypnagogic Foot Tremor and Alternating Leg Muscle Activation During Sleep
  • Propriospinal Myoclonus at Sleep Onset
  • Excessive Fragmentary Myoclonus