Description: Sleep disorders are very common among women during their lifespan, presenting in isolation or in combination with other illnesses particularly psychiatric and neurologic disorders. Pregnancy-related sleep disorders pose an interesting dilemma as this is a transient phase; these are associated with potential long-term effects on maternal and fetal health. Menopause and pre-menopausal stages lead to a significant change in sleep architecture, sometimes associated with insomnia with or without sleep related breathing disorder. Sleep architecture in men and women varies due to significant hormonal differences between the genders. However, sleep complaints are disproportionately higher among women. This book presents 20 clinical cases to understand the differences in presentation of symptoms and treatment options for various sleep disorders that are more commonly noted among women. These cases cover a spectrum of sleep related breathing disorders, sleep related movement disorders, hypersomnias, parasomnias, issues of sleep fragmentation leading to insomnia in association with hormonal changes and some unique cases encountered in our clinical practices. This compilation of interesting clinical cases presents trainees and experienced physicians with a useful guide to assist in their clinical practices and will stimulate further research and studies. See more medical ebooks at here: Management of Pediatric Obstructive Sleep Apnea After Failed Tonsillectomy and Adenoidectomy Association of obstructive sleep apnea with endothelial function and heart remodeling in hypertension: A cross-sectional study First Aid Cases for the USMLE Step 2 CK 2nd Edition Functional Illness of the Head and Neck: An ENT Perspective Pediatric Trauma Care: A Practical Guide Preface Whether presenting in isolation or combination with other illnesses, sleep disorders are prevalent among women during their lifespans. Sleep architecture and physiology reveal subtle differences among the sexes although sleep disorders are disproportionately higher among women. This book will go through a series of clinical cases to understand the presentation and management of various sleep disorders, focusing on women in various stages of their life cycle. In the first two books, Comorbid Sleep and Psychiatric Disorders: A Clinical Casebook and Sleep Disorders in Selected Psychiatric Settings: A Clinical Casebook, editors Imran S. Khawaja and Thomas D. Hurwitz explored the association between sleep and psychiatric disorders. In this third volume, we discuss 20 cases to highlight unique aspects of sleep disorders among women, the primary audience being all clinicians taking care of women’s health. We review cases of sleep disturbance among young teenagers, adolescents, and middle-aged women with a spectrum of sleep-related breathing disorders, sleep-related movement disorders, hypersomnia, parasomnias, insomnia with hormonal changes, and some unique cases encountered in our clinical practices. Pregnancy-related sleep disorders pose an interesting dilemma as this is a transient phase. Menopause and pre-menopausal stages lead to a noteworthy change in sleep architecture, sometimes associated with insomnia with or without sleep-related breathing disorders. Sleep disturbances in pregnancy can lead to long-term adverse maternal and fetal health effects. This book will present trainees and experienced clinicians with a valuable guide to managing sleep disorders among women. This book is a compilation of succinct, interesting clinical cases, each followed by relevant questions to stimulate the reader. We thank our contributing authors for their dedication to the field of medicine and hope this book will spark further research to enhance our knowledge in the arena of sleep disorders in women. Dallas, TX, USA Safia S. Khan Grapevine, TX, USA Imran S. Khawaja Table of contents : Preface Contents About the Editors Part I: Menstrual Cycle and Sleep Changes 1: Sleep Changes with Menarche Clinical Case General Discussion Menarche and Sleep Sleep Evaluation Questionnaires Physiologic changes of Sleep during Adolescence Treatment Consequences of Inadequate Sleep Take Home Points References 2: Insomnia in Pregnancy: A Review Clinical History Discussion References 3: Restless Legs Syndrome in Women: A Case Report Introduction Case Report Discussion and Conclusions References 4: Sleep Deprivation in a Postpartum Woman with Short Sleeper Syndrome Clinical History Physical Exam Lab Results Differential Diagnoses Diagnosis Discussion Pearls/Take-Home Points References Part II: Sleep-related Disorders of Breathing in Women 5: Can Snoring Cause Me to Be Tired and Sleepy? Upper Airway Resistance Syndrome in Women Clinical Case History Examination and Mental Status Exam Special Studies Results Diagnosis, Differential Diagnosis, and Discussion Conclusion Pearls/Take-Home Points References 6: Is It Snoring or Sleep Apnea; Should I Be Worried? Clinical Case 1 Special Studies Case Follow Up Clinical Case 2 Discussion Diagnostic Testing; Utility of in-Lab Versus Home Testing Treatment Conclusion Take Home Points References 7: Case of Obesity Hypoventilation in an African American Lady with Underlying Hypertension, Diabetes and Mood disorder Clinical History/Case Examination Special Studies Final Diagnosis General Remarks Clinical Pearls References Part III: Hypersomnias in Women 8: Idiopathic Hypersomnia History Physical Examination Laboratory Tests Actigraphy and Sleep Log Polysomnogram and MSLT Diagnosis and Treatment Differential Diagnoses Discussion Treatment of Idiopathic Hypersomnia Outcome of the Case Take Home Pearls Reference 9: Complicated Delayed Sleep Wake Phase Disorder in a 59-Year-Old Woman Clinical History Physical Examination Data Discussion Treatment Behavioral Interventions Medication Light Therapy Clinical Pearls References 10: Medication Management of Patient with Narcolepsy During Pregnancy and Lactation Clinical History Physical Exam Sleep Study Results General Discussion Treatment of Narcolepsy in Non-pregnant Women and Men Change in Labelling of Drugs Safety for Pregnancy and Lactation Treatment of Narcolepsy in Pregnant Women Treatment of Narcolepsy During Labor and Delivery Prescribing in Breast-Feeding Mothers Take Home Points References Part IV: Menopause Related Sleep Disorders 11: Sleep Disturbances Due to Hot Flashes in the Post-Menopausal State Clinical History Special Studies Differential Diagnosis and Diagnosis Discussion Treatment Pearls/Take Home Points References 12: Hypoglossal Nerve Stimulator in the Treatment of Obstructive Sleep Apnea in a Menopausal Woman with CPAP Intolerance Clinical Case Physical Exam Discussion Definition and Diagnosis of Obstructive Sleep Apnea Treatment Options for Obstructive Sleep Apnea Obstructive Sleep Apnea in Menopausal Women Hypoglossal Nerve Stimulator Device Indications Contraindications Limitations Take Home Points References 13: Onset of Chronic Insomnia Due to COVID-19 Pandemic in the Setting of Severe Anxiety in an Elderly Widow Clinical History Physical Examination Lab Test Results Differential Diagnoses Diagnosis General Remarks Best Answers Pearls/Take Home Points References Part V: Sleep and Psychiatric Disorders in Women 14: Bipolar Disorder Related Sleep Disturbances in Women Clinical Case Physical Exam Discussion Hypomania Vs. Mania Depressive Episodes Influence of Family History Diagnosing Bipolar Disorder Differential Diagnosis Special Considerations for Bipolar in Women Treatment and Referral to Psychiatry Take Home Points References Part VI: Special Topics 15: Intractable Insomnia in a Woman with Otherwise Successful Treatment of Breast Cancer Clinical History Examination/Mental Status Exam Discussion Take Home Pearls References 16: Parasomnias in Women Case 1 Discussion Outcome of Case Case 2 Discussion Outcome Teaching Points References 17: Fatigue in a Transgender Man Clinical History Physical Examination and Objective Metrics Lab Results Special Studies Results Question: What Is the Diagnosis? Differential Diagnosis and Diagnosis General Remarks Sleep-Disordered Breathing OSA: Clinical Screening, Diagnosis, and Consequences Gender Affirming Care: Hormonal Treatment for Transgender Persons Anatomical Oropharyngeal Differences Between Genders Effects of Hormones on Airway Collapse OSA in Transgender People Pearls/Take Home Points References Part VII: Neurologic Disorders with Sleep Disturbance 18: Parkinson Disease and REM Sleep Behavior Disorder in Women Case 1 Discussion Outcome of Case Case 2 Discussion Outcome of Case Take Home Points References 19: Disordered Sleep in a Female Caregiver Clinical History/Case Examination/Mental Status Exam Differential Diagnosis and Diagnosis General Remarks Non-pharmacologic Therapy Pharmacologic Therapy Pearls/Take Home Points References 20: Poor Sleep in a Cancer Patient Receiving Palliative Care Clinical History/Case Physical/Mental Status Examination Results (Abnormal Bolded) Differential Diagnoses Discussion Hypersomnia Versus Insomnia in Delirium Reversible Versus Irreversible Delirium Hyperactive Versus Hypoactive Delirium Treatment Clinical Pearls/Take Home Points References Index
