Pediatric Sleep Pearls 2016


Following in the steps of the bestselling Sleep Medicine Pearls, this practical resource provides authoritative guidance on the evaluation and management of common pediatric sleep medicine problems using concise clinical vignettes. Experts in this rapidly growing field, led by Drs. Lourdes M. DelRosso, Richard B. Berry, Suzanne E. Beck, Mary H. Wagner, and Carole L. Marcus, provide a hands-on, case-based approach, perfect for physicians studying for the sleep boards, fellows learning sleep medicine, and physicians who see children in their practice.
Over 95 cases review key elements in the evaluation and management of a wide variety of pediatric sleep disorders.
An easy-to-read "pearls" format summarizes 2 to 5 major teaching points for maximum retention. Short, templated chapters are ideal for use by busy physicians.
Current scoring criteria from the American Academy of Sleep Medicine manual for sleep and associated events version 2.2, as well as the current International Classification of Sleep Disorders, 3rd Edition (ICSD-3).
Expert coverage of normal sleep in children, as well as sleep disorders associated with common medical, neurologic, psychiatric, neurodevelopmental, and genetic conditions.
Up-to-date information on pediatric obstructive sleep apnea syndrome diagnosis and management.
Numerous illustrations of polysomnographic fragments and pictures of clinical findings help you quickly recognize key pediatric sleep patterns that lead to an accurate diagnosis. All illustrations online are in full color.
An ideal resource for pediatric sleep medicine specialists, adult sleep medicine specialists, pediatric pulmonologists, pediatric neurologists, pediatric otolaryngologists, general pediatricians, and pediatric psychologists.

Table of contents : Content:
Front Matter,Copyright,Dedication,Preface,AcknowledgmentsEntitled to full textPart 1: Introduction to Pediatric Sleep MedicineSection 1: Evaluation of the Pediatric Sleep PatientCase 1 - Pediatric sleep history: A 4 year-old with snoring, gasping and witnessed apneas, Pages 2-4
Case 2 - A 6-year-old girl with tonsillar hypertrophy, high-arched palate, and snoring, Pages 5-7
Case 3 - A 10-year-old girl with an unusual finding on physical exam, Pages 8-9
Case 4 - Overview of pediatric polysomnography: A newborn infant with snoring and witnessed apnea, Pages 10-11
Case 5 - A 2-week-old infant with some challenging epochs on polysomnography, Pages 12-15
Case 6 - A 14-year-old with an abnormal end-tidal CO2 waveform during polysomnography, Pages 16-19
Case 7 - A 3-year-old boy with rhythmic activity on electroencephalogram, Pages 20-22
Case 8 - A 3-month-old infant with monomorphic waves on electroencephalogram, Pages 23-24
Case 9 - A newborn infant with an alternating electroencephalogram pattern, Pages 25-26
Case 10 - A 2-month-old infant with sleep-onset REM period on polysomnography, Pages 27-28
Case 11 - An infant with high amplitude on an electroencephalogram recording, Pages 29-30
Case 12 - A 7-month-old infant with a series of central apneas, Pages 31-34
Case 13 - A 15-month-old with central apnea, Pages 35-38
Case 14 - A 19-month-old child with irregular, heavy breathing during sleep, Pages 39-41
Case 15 - A 4-week-old infant with jerking movements during sleep, Pages 42-44
Case 16 - An 8-year-old boy with abnormal capnography on polysomnogram, Pages 45-48
Case 17 - A 13-year-old boy with snoring and abnormal eye movements on polysomnogram, Pages 49-51
Case 18 - A 3-month-old infant who sleeps with a pacifier, Pages 52-54
Case 19 - A 24-month-old girl with uneventful desaturation, Pages 55-56
Case 20 - A 5-year-old child with unusual leg movements on polysomnography, Pages 57-58
Case 21 - A 16-year-old with snoring and diaphoresis, Pages 59-60
Case 22 - A polysomnography finding in an 8-year-old with history of seizures, Pages 61-62
Case 23 - A 14-year-old girl who watches TV to fall asleep, Pages 64-66
Case 24 - An 8-year-old with a return to daytime napping, Pages 67-68
Case 25 - A 10-year-old girl sleeps with her parents and her sister, Pages 69-71
Case 26 - A 4-year-old boy with frequent nocturnal awakenings, Pages 72-73
Case 27 - A 14-year-old with difficulty falling asleep, Pages 74-77
Case 28 - A 10-year-old boy with excessive sleepiness and new-onset parasomnia, Pages 78-79
Case 29 - A 9-year-old girl with excessive daytime sleepiness and slurred speech, Pages 80-82
Case 30 - A 13-year-old boy with excessive sleepiness who falls asleep watching television, Pages 83-85
Case 31 - A 16-year-old boy who cannot stay up late on weekends, Pages 86-88
Case 32 - A 4-year-old girl with septo-optic dysplasia and fragmented sleep, Pages 89-92
Case 33 - A 13-year-old boy who falls asleep in school, Pages 93-96
Case 34 - A 1-month-old premature infant on an apnea monitor, Pages 97-100
Case 35 - A 2-month-old infant turns blue in front of his parents, Pages 101-103
Case 36 - A 1-week-old infant with severely abnormal blood gases, Pages 104-106
Case 37 - A child with central sleep apnea treated with supplemental oxygen, Pages 107-110
Case 38 - A toddler headed for tracheostomy decannulation, Pages 111-114
Case 39 - A school-aged child with snoring, Pages 115-118
Case 40 - Double trouble: Tween siblings with obesity, daytime somnolence, and snoring, Pages 119-123
Case 41 - An infant with respiratory muscle weakness and lethargy, Pages 124-127
Case 42 - A 7-year-old boy with snoring, restless sleep, and obstructive sleep apnea, Pages 128-132
Case 43 - A 2½-year-old girl with snoring, restless sleep, and severe obstructive sleep apnea, Pages 133-136
Case 44 - A school-aged boy with snoring and attention-deficit hyperactivity disorder, Pages 137-140
Case 45 - A 7-year-old boy with obesity and persistent hypoventilation, Pages 141-145
Case 46 - A 6-month-old with laryngomalacia and stridor in sleep, Pages 146-150
Case 47 - Disturbed sleep in a patient with Duchenne muscular dystrophy∗,†, Pages 151-155
Case 48 - A 17-year-old with morning headaches, Pages 156-159
Case 49 - A 6-month-old with chronic lung disease of infancy, intermittent snoring, and failure to thrive, Pages 160-163
Case 50 - A 5-year-old boy with obstructive sleep apnea not tolerating continuous positive airway pressure, Pages 164-166
Case 51 - A child referred for positive airway pressure initiation and titration, Pages 167-170
Case 52 - An adolescent referred for bi-level positive airway pressure titration awakens with leg cramps, Pages 171-174
Case 53 - A 3-year-old girl with irregular breathing on bilevel positive airway pressure, Pages 175-178
Case 54 - Why is the continuous positive airway pressure no longer working?, Pages 179-181
Case 55 - A 3-year-old girl with Down syndrome, chronic otitis media, and snoring, Pages 182-185
Case 56 - An 18-month-old with snoring and achondroplasia, Pages 186-188
Case 57 - A 9-month-old girl with Pfeiffer syndrome and snoring, Pages 189-191
Case 58 - A 3-year-old girl with Prader-Willi syndrome and obesity, Pages 192-195
Case 59 - A 12-day-old infant with Pierre Robin sequence and difficulty breathing, Pages 196-199
Case 60 - A 12-year-old girl with Williams syndrome and frequent nocturnal awakenings, Pages 200-202
Case 61 - A 9-year-old female with Joubert syndrome and breath-holding spells, Pages 203-205
Case 62 - A 4-year-old female with early morning awakenings, Pages 206-209
Case 63 - A 6-year-old girl who goes to school while sleeping, Pages 210-213
Case 64 - A 3-year-old girl with disruptive nocturnal awakenings, Pages 214-216
Case 65 - An 11-year-old boy with obesity and secondary enuresis, Pages 217-220
Case 66 - A 13-year-old boy with Moebius sequence and violent nocturnal behaviors, Pages 221-224
Case 67 - Brain tumor presenting as somnambulism in an adolescent∗, Pages 225-228
Case 68 - A 9-year-old boy with snoring and leg movements, Pages 229-232
Case 69 - A 5-year-old girl with a rush of energy at bedtime, Pages 233-235
Case 70 - A 4-year-old boy with tooth grinding during sleep, Pages 236-238
Case 71 - A 5-year-old boy with repetitive nocturnal movements, Pages 239-241
Case 72 - A patient with sickle cell disease and a low baseline sleeping oxygen saturation∗, Pages 242-245
Case 73 - A 5-month-old baby who wakes and spits up through the night, Pages 246-249
Case 74 - A 3-year-old boy with trisomy 21 and unchanged apnea–hypopnea index after tonsillectomy and adenoidectomy, Pages 250-251
Case 75 - A 10-year-old with snoring and hypoxemia, Pages 252-254
Case 76 - A 13-year-old girl with multiple nocturnal awakenings, Pages 255-257
Case 77 - A 5-year-old with nocturnal cough and daytime fatigue, Pages 258-261
Case 78 - A 16-year-old boy with intractable seizure disorder and snoring, Pages 262-265
Case 79 - A 15-year-old girl with Lennox-Gastaut syndrome and breathing pauses, Pages 266-269
Case 80 - A 2-year-old girl with abnormal nocturnal events, Pages 270-272
Case 81 - A 13-year-old boy with snoring and headaches, Pages 273-276
Case 82 - A 13-year-old boy with facial weakness and severe obstructive sleep apnea, Pages 277-280
Case 83 - A 13-year-old girl with medulloblastoma and breathing pauses, Pages 281-284
Case 84 - An 11-year-old with Rett syndrome and cyanotic spells, Pages 285-288
Case 85 - An 11-year-old boy with morning headaches, Pages 289-291
Case 86 - An 11-year-old boy with history of concussion and insomnia, Pages 292-294
Case 87 - A 16-year-old girl with panic attacks and multiple nocturnal awakenings, Pages 295-296
Case 88 - A 12-year-old girl with fatigue and difficulty falling asleep, Pages 297-300
Case 89 - An 8-year-old boy with attention-deficit/hyperactivity disorder and multiple nocturnal awakenings, Pages 301-303
Case 90 - A 13-year-old boy with autism spectrum disorder and difficulty falling asleep, Pages 304-306
Case 91 - A 13-year-old girl with excessive daytime sleepiness, Pages 307-310
Case 92 - A 12-year-old girl with narcolepsy and motor tics, Pages 311-313
Case 93 - A 15-year-old girl with narcolepsy type 1 needs sedation for dental work, Pages 314-315
Case 94 - A 14-year-old boy with short stature and snoring, Pages 316-318
Case 95 - A 17-year-old boy with both insomnia and excessive daytime sleepiness, Pages 319-321
Case 96 - A 10-year-old with acute pancreatitis and snoring, Pages 322-323
Common Abbreviation List, Page 324
Thematic Table of Contents, Pages 325-326
Index, Pages 327-339