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The Basics of Polysomnography

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Abstract

With advances in neurophysiology, the recording of electrical activity of brain became possible. Analysis of the brainwave activity during sleep helped in understanding the various different components of sleep and sleep disorders. Polysomnography nowadays gives us a great deal of information about sleep, respiratory, and limb movement characteristics. The modern day sleep physician relies heavily on polysomnography in understanding the sleep disorders of the patients. In this chapter, we go over the various different aspects of a typical sleep study including electrode arrangement, electroencephalogram, electrooculogram including audio and video recordings.

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References

  1. Atkinson JW, editor. The evolution of polysomnographic technology. Philadelphia: Lippincott, Williams & Wilkins; 2007.

    Google Scholar 

  2. Caton R. The electric currents of the brain. Br Med J. 1875;2:278.

    Google Scholar 

  3. Deak M, Epstein LJ. The history of polysomnography. Sleep Med Clin. 2009;4(3):313–21.

    Article  Google Scholar 

  4. Berger J. Uber das Elektrenkephalogramm des Menchen. Arch Psychiatr Nervenkr. 1929;87:527–70.

    Article  Google Scholar 

  5. Haba-Rubio J, Krieger J. Evaluation instruments for sleep disorders: a brief history of polysomnography and sleep medicine. Introduction to modern sleep technology. Springer Nature. 2012. https://doi.org/10.1007/978-94-007-5470-6_2.

  6. Aserinsky E, Kleitman N. Regularly occurring periods of eye motility, and concomitant phenomena, during sleep. Science. 1953;118(3062):273–4.

    Article  CAS  Google Scholar 

  7. Jouvet M, Michel F, Courjon J. On a stage of rapid cerebral electrical activity in the course of physiological sleep. C R Seances Soc Biol Fil. 1959;153:1024–8.

    CAS  PubMed  Google Scholar 

  8. Jouvet M, Mounier D. Effect of lesions of the pontile reticular formation on sleep in the cat. C R Seances Soc Biol Fil. 1960;154:2301–5.

    CAS  PubMed  Google Scholar 

  9. Dement WC, editor. The promise of sleep. New York: Dell Publishing; 1999.

    Google Scholar 

  10. Rechtschaffen A, Kales A, editors. A manual of standardized terminology, techniques, and scoring system for sleep stages of human subjects. Washington, DC: Public Health Service, U.S. Government Printing Service; 1968.

    Google Scholar 

  11. Himanen SL, Hasan J. Limitations of Rechtschaffen and Kales. Sleep Med Rev. 2000;4(2):149–67.

    Article  Google Scholar 

  12. Iber C, Ancoli-Israel S, Chesson A, Quan SF, for the American Academy of Sleep Medicine, editors. The AASM manual for the scoring of sleep and associated events: rules, terminology and technical specifications. Westchester: American Academy of Sleep Medicine; 2007.

    Google Scholar 

  13. Silber MH, Ancoli-Israel S, Bonnet MH, et al. The visual scoring of sleep in adults. J Clin Sleep Med. 2007;3(2):121–31.

    PubMed  Google Scholar 

  14. Chokroverty S, Bhatt M, Goldhammer T. 1 - Polysomnographic recording technique. In: Atlas of sleep medicine. Philadelphia: Butterworth-Heinemann; 2005. p. 1–28. ISBN 9780750673983. https://doi.org/10.1016/B978-0-7506-7398-3.50005-X.

    Google Scholar 

  15. Jasper HH. The ten twenty electrode system of the International Federation. Electroenceph Clin Neurophysiol. 1958;10:371–5.

    Google Scholar 

  16. Chokroverty S, Bhatt M, Goldhammer T. 2 - Electroencephalography for the sleep specialists. In: Atlas of sleep medicine. Philadelphia: Butterworth-Heinemann; 2005. p. 29–93. ISBN 9780750673983. https://doi.org/10.1016/B978-0-7506-7398-3.50006-1.

    Chapter  Google Scholar 

  17. Walczak T, Chokroverty S. Electroencephalography, electroymyography, and electro-oculography: general principles and basic technology. In: Chokroverty S, editor. Sleep disorders medicine: basic science, technical considerations, and clinical aspects. 2nd ed. Boston: Butterworth Heinemann; 1999. p. 175–203.

    Google Scholar 

  18. Geyer J, Talathi S, Carney P. Introduction to sleep and polysomnography. In: Carney PR, Berry RB, Geyer JD, editors. Clinical sleep disorders. Philadelphia: Lippincott Williams & Wilkins; 2009. p. 265–6.

    Google Scholar 

  19. Chokroverty S. Role of electroencephalography in epilepsy. In: Chokroverty S, editor. Management of epilepsy. Boston: Butterworth-Heinemann; 1996. p. 67–112.

    Google Scholar 

  20. Keenan SA. Chapter 3 An overview of polysomnography. In: Guilleminault C, editor. Handbook of clinical neurophysiology, Vol. 6. Elsevier; 2005. p. 33–50. ISSN 1567-4231, ISBN 9780444515179. https://doi.org/10.1016/S1567-4231(09)70028-0.

    Google Scholar 

  21. Pinto JA, de Godoy LBM, Ribeiro RC, Mizoguchi EI, Hirsch LAM, Gomes LM. Accuracy of peripheral arterial tonometry in the diagnosis of obstructive sleep apnea. Braz J Otorhinolaryngol. 2015. https://doi.org/10.1016/j.bjorl.2015.07.005.

  22. Yalamanchali S, Farajian V, Hamilton C, Pott TR, Samuelson CG, Friedman M. Diagnosis of obstructive sleep apnea by peripheral arterial tonometry. JAMA Otolaryngol Head Neck Surg. 2013. https://doi.org/10.1001/jamaoto.2013.5338.

  23. Stuck BA, Maurer JT. Recent developments in the diagnosis and treatment of obstructive sleep apnea. HNO. 2016. https://doi.org/10.1007/s00106-016-0176-0.

  24. Specialized Techniques. Atlas of sleep medicine. Elsevier BV; 2005. https://doi.org/10.1016/b978-0-7506-7398-3.50015-2

  25. Afifi L, Kushida CA. Chapter 4 Multiple sleep latency test. In: Guilleminault C, editor. Handbook of clinical neurophysiology, Vol. 6. Elsevier; 2005. p. 51–57. ISSN 1567-4231, ISBN 9780444515179. https://doi.org/10.1016/S1567-4231(09)70029-2.

    Google Scholar 

  26. Hirshkowitz M. Chapter 3 - Introduction to sleep medicine diagnostics in adults. In: Barkoukis TJ, Matheson JK, Ferber R, Doghramji K, editors. Therapy in sleep medicine. Philadelphia: W. B. Saunders; 2012. p. 28–40. ISBN 9781437717037. https://doi.org/10.1016/B978-1-4377-1703-7.10003-9.

    Chapter  Google Scholar 

  27. Practice parameters for clinical use of the multiple sleep latency tests and the maintenance of wakefulness test. An American Academy of Sleep Medicine report. Standards of Practice Committee of the American Academy of Sleep Medicine. Sleep 2005;28:113–121.

    Google Scholar 

  28. Doghramji K, Mitler MM. Chapter 5 The maintenance of wakefulness test. In: Guilleminault C, editor. Handbook of clinical neurophysiology, Vol. 6. Elsevier; 2005. p. 59–65. ISSN 1567-4231. ISBN 9780444515179. https://doi.org/10.1016/S1567-4231(09)70030-9.

    Google Scholar 

  29. Littner M, Hirshkowitz M, Sharafkhaneh A, Goodnight-White S. Nonlaboratory assessment of sleep-related breathing disorders. Sleep Med Clin. 2006;1:461–3.

    Article  Google Scholar 

  30. Hoban TF. 13 - Pediatric polysomnography. In Chokroverty S, Bhatt M, Thomas RJ, editors. Atlas of sleep medicine. Philadelphia: Butterworth-Heinemann; 2005. p. 325–53. ISBN 9780750673983. https://doi.org/10.1016/B978-0-7506-7398-3.50017-6.

    Chapter  Google Scholar 

  31. Anders T, Emdee A, et al. A manual of standardized terminology, techniques, and criteria for scoring of states of sleep and wakefulness in newborn infants. Los Angeles: UCLA Brain Information Service, NINDS Neurological Information Network; 1971.

    Google Scholar 

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Correspondence to Pradeep C. Bollu M.D. .

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Natteru, P., Bollu, P.C. (2018). The Basics of Polysomnography. In: Govindarajan, R., Bollu, P. (eds) Sleep Issues in Neuromuscular Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-73068-4_1

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  • DOI: https://doi.org/10.1007/978-3-319-73068-4_1

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