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Sleep medicine for the practising neurologist
In Context
Books Sleep medicine for the practising neurologist
Sleep Disorders in Neurology Edited by Sebastiaan Overeem and Paul Reading. Wiley, 2010. Pp 344. £44.99. ISBN 978-1-4051-8843-2
Sleep medicine is truly multidisciplinary. Patients with sleep-related disorders can present with initial symptoms to specialists in, for example, internal medicine, cardiology, neurology, psychiatry, and otolaryngology. Additionally, sleep problems can occur with other diseases and disorders and have a significant effect on the outcomes of many chronic neurological conditions. Thus, specialists in various disciplines need to be familiar with the myriad manifestations of sleep disorders to provide comprehensive patient care. Sleep Disorders in Neurology: A Practical Approach aims to provide neurologists with a practical perspective about sleep disorders that are associated with and accompany neurological disorders. The book is divided into seven sections covering the major topics: diagnosis and management of sleep disorders, and then by discussion of sleep problems associated with various neurological diseases, such as movement disorders, neurodegenerative disorders, neuromuscular disorders, trauma, and stroke. Each chapter is followed by a useful summary of the content. The book provides a practical approach to sleep problems in neurological disorders with insights into the pathophysiology and also the relation between the effect of deterioration of sleep on neurological disorders and vice versa. The chapter on neuroimmunological disorders (multiple sclerosis, neuromyelitis optica, and acute disseminated encephalomyelitis) is an excellent addition. These conditions can involve nocturnal symptoms, such as pain and cramps, which result in insomnia and excessive daytime sleepiness. Additionally, treatment of these disorders is known to adversely affect sleep. This chapter describes the symptoms, their genesis, and appropriate treatment. Recognition and treatment of these issues will help to improve the quality of life of patients. The chapter on effects of medications on sleep and wakefulness discusses
the neurotransmitters involved in waking and sleep along with the drugs (histaminergic, cholinergic, adrenergic, and serotonergic) that are often used to treat sleep disorders. The International Classification of Sleep Disorders-2 (ICSD-2) and tables on the effect of drugs that commonly cause sleep problems are provided as an appendix and are very useful references. The authors rightly state that they did not imagine the book to be a large encyclopaedic reference, and thus details of pathogenesis and extensive research trials are not described in great detail. However, commonly reported conditions, such as headache, and their relations with sleep are clearly described. There is a clear relation between sleep and headache: sleep provokes and relieves headache. Sleep physicians need to familiarise themselves with headache symptoms to treat patients. The importance of screening patients with headache who have a history of sleep problems is described, with appropriate suggestions for management. In the past two decades, there has been increasing focus on the non-motor manifestation of idiopathic Parkinson’s disease. Sleep-related problems form a major part of these non-motor symptoms. The authors rightly state that the “whole gamut of sleep disorders may be seen in PD [Parkinson’s disease]”. In summary, this book provides information on symptoms of sleep disorders along with their causes, as well as management suggestions to help clinicians to promptly recognise and treat patients to improve their quality of life. Overall, I strongly recommend this book for both neurologists specialising in sleep medicine and general neurologists.
Manvir Bhatia drmbhatia@gmail
Understanding children’s movement problems Movement Disorders in Childhood By Harvey S Singer, Jonathan Mink, Donald L Gilbert, and Joseph Jankovic. Elsevier Health, 2010. Pp 288. £63.99. ISBN 978-0-7506-9852-8
1154
Only 10 years ago, very few people specialised in paediatric movement disorders; now it is an area of special interest. Movement Disorders in Childhood is a well written and very useful book by three internationally recognised child neurologists and an adult neurologist, all of whom have a strong clinical and scientific background in movement disorders. Chapters were written by the child neurologists and reviewed by all authors. Importantly, not only is the quality of the chapters uniformly rather high, but the authors have also created a coherence that is difficult to find in other multi-author books.
This book, written in an objective and sensitive manner, puts many years of experience in abnormal movements into a valuable textbook, making practical knowledge available to anyone pursuing this complex branch of paediatrics. The text is intended to act mainly as a working guide for those who specialise in paediatric movement disorders. The book is organised into five main sections and three appendices that address most of the clinically encountered problems in the practice of paediatric movement disorders. Traditionally, the subject of movement disorders does not include the abnormal movements caused by cerebellar www.thelancet.com/neurology Vol 9 December 2010
Books Sleep medicine for the practising neurologist
Sleep Disorders in Neurology Edited by Sebastiaan Overeem and Paul Reading. Wiley, 2010. Pp 344. £44.99. ISBN 978-1-4051-8843-2
Sleep medicine is truly multidisciplinary. Patients with sleep-related disorders can present with initial symptoms to specialists in, for example, internal medicine, cardiology, neurology, psychiatry, and otolaryngology. Additionally, sleep problems can occur with other diseases and disorders and have a significant effect on the outcomes of many chronic neurological conditions. Thus, specialists in various disciplines need to be familiar with the myriad manifestations of sleep disorders to provide comprehensive patient care. Sleep Disorders in Neurology: A Practical Approach aims to provide neurologists with a practical perspective about sleep disorders that are associated with and accompany neurological disorders. The book is divided into seven sections covering the major topics: diagnosis and management of sleep disorders, and then by discussion of sleep problems associated with various neurological diseases, such as movement disorders, neurodegenerative disorders, neuromuscular disorders, trauma, and stroke. Each chapter is followed by a useful summary of the content. The book provides a practical approach to sleep problems in neurological disorders with insights into the pathophysiology and also the relation between the effect of deterioration of sleep on neurological disorders and vice versa. The chapter on neuroimmunological disorders (multiple sclerosis, neuromyelitis optica, and acute disseminated encephalomyelitis) is an excellent addition. These conditions can involve nocturnal symptoms, such as pain and cramps, which result in insomnia and excessive daytime sleepiness. Additionally, treatment of these disorders is known to adversely affect sleep. This chapter describes the symptoms, their genesis, and appropriate treatment. Recognition and treatment of these issues will help to improve the quality of life of patients. The chapter on effects of medications on sleep and wakefulness discusses
the neurotransmitters involved in waking and sleep along with the drugs (histaminergic, cholinergic, adrenergic, and serotonergic) that are often used to treat sleep disorders. The International Classification of Sleep Disorders-2 (ICSD-2) and tables on the effect of drugs that commonly cause sleep problems are provided as an appendix and are very useful references. The authors rightly state that they did not imagine the book to be a large encyclopaedic reference, and thus details of pathogenesis and extensive research trials are not described in great detail. However, commonly reported conditions, such as headache, and their relations with sleep are clearly described. There is a clear relation between sleep and headache: sleep provokes and relieves headache. Sleep physicians need to familiarise themselves with headache symptoms to treat patients. The importance of screening patients with headache who have a history of sleep problems is described, with appropriate suggestions for management. In the past two decades, there has been increasing focus on the non-motor manifestation of idiopathic Parkinson’s disease. Sleep-related problems form a major part of these non-motor symptoms. The authors rightly state that the “whole gamut of sleep disorders may be seen in PD [Parkinson’s disease]”. In summary, this book provides information on symptoms of sleep disorders along with their causes, as well as management suggestions to help clinicians to promptly recognise and treat patients to improve their quality of life. Overall, I strongly recommend this book for both neurologists specialising in sleep medicine and general neurologists.
Manvir Bhatia drmbhatia@gmail
Understanding children’s movement problems Movement Disorders in Childhood By Harvey S Singer, Jonathan Mink, Donald L Gilbert, and Joseph Jankovic. Elsevier Health, 2010. Pp 288. £63.99. ISBN 978-0-7506-9852-8
1154
Only 10 years ago, very few people specialised in paediatric movement disorders; now it is an area of special interest. Movement Disorders in Childhood is a well written and very useful book by three internationally recognised child neurologists and an adult neurologist, all of whom have a strong clinical and scientific background in movement disorders. Chapters were written by the child neurologists and reviewed by all authors. Importantly, not only is the quality of the chapters uniformly rather high, but the authors have also created a coherence that is difficult to find in other multi-author books.
This book, written in an objective and sensitive manner, puts many years of experience in abnormal movements into a valuable textbook, making practical knowledge available to anyone pursuing this complex branch of paediatrics. The text is intended to act mainly as a working guide for those who specialise in paediatric movement disorders. The book is organised into five main sections and three appendices that address most of the clinically encountered problems in the practice of paediatric movement disorders. Traditionally, the subject of movement disorders does not include the abnormal movements caused by cerebellar www.thelancet.com/neurology Vol 9 December 2010