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From The CriticsReviewer:Katherine M. Sharkey, MD, PhD(Rush University Medical Center)
Description:This is a collection of sleep tracings and supporting text depicting the basics of polysomnography, case presentations of various sleep disorders and their treatments, and examples of specialized techniques and tests used in sleep medicine and research.
Purpose:The purpose is to provide images that emphasize clinical-physiological correlations, so that the reader may learn to recognize normal and abnormal patterns and diagnose and treat various sleep disorders. The authors emphasize that polysomnographic tracings represent "the physical exam of the sleeping patient," and as such they have included many illustrations of common and uncommon polysomnographic findings.
Audience:The intended audience reflects the multidisciplinary nature of sleep medicine. The atlas is meant to appeal to physicians from disciplines such as neurology, pulmonology, psychiatry, cardiology, and otolaryngology, as well as psychologists, dentists, sleep technologists and students of sleep and sleep medicine.
Features:The book is organized into 13 chapters which include the basics of polysomnographic laboratory techniques, sleep staging, abnormal electroencephalographic recordings during sleep, electrocardiogram abnormalities during sleep, sleep disordered breathing, sleep and epilepsy, and motor abnormalities during sleep. There is a chapter on hypnogram analysis that focuses on pattern recognition across an entire night of sleep. Chapters on pediatric sleep recordings and specialized techniques and testing in sleep medicine are also included.
Assessment:The book has a strong emphasis on neurologic disorders and sleep, which may reflect the fact that two of its three authors are neurologists. Its main strengths are the abundance of illustrations and examples and detailed clinical descriptions of the patients whose sleep recordings are depicted. The quality of the sleep tracings is variable throughout the book. In addition, some figures seemed to be missing captions and others would benefit from more detailed labeling. Perhaps these issues will be addressed in the second edition. Overall, this will be a valuable reference for those who practice clinical sleep medicine.