Chapter

When More Is Less

Joyce Lee-Iannotti and Charles Bae

in A Case a Week: Sleep Disorders from the Cleveland Clinic

Published on behalf of Oxford University Press

Published in print September 2010 | ISBN: 9780195377729
Published online April 2013 | e-ISBN: 9780199322985 | DOI: http://dx.doi.org/10.1093/med/9780195377729.003.0044
When More Is Less

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Case 42 introduces a 77-year-old man who presented to the sleep disorders clinic for evaluation of fatigue and involuntary leg movements during sleep, which developed in his late 60s initially as unrefreshing sleep and unexplained night awakenings. A previous PSG showed frequent periodic leg movements in sleep (PLMS) and in wakefulness (PLMW) but no evidence of sleep apnea. His medical history was notable for atrial fibrillation and hypertension.

Chapter.  2202 words.  Illustrated.

Subjects: Neurology ; Sleep Medicine

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