AASM Membership Sections Newsletter Issue #3
17
Figure 1.
Hypnogram of the sleep study showing sleep stage distribution, CPAP titration, respiratory events, leg movements,
body position and leg movements. Note that all respiratory events are resolved at CPAP pressures of 10 and above, including
during REM sleep.
b. Abnormal REM sleep behaviors documented
during polysomnographic monitoring
3.
Absences of EEG epileptiform activity
during REM sleep unless RBD can be clearly
distinguished from any concurrent REM sleep-
related seizure disorder.
4.
The sleep disturbance is not better explained by
another sleep disorder, medical or neurologic
disorder, mental disorder, medication use, or
substance use disorder.
Evaluation
1.
Detailed H&P – Including Medical, Neurologic &
Psychiatric Exam
2.
Detailed Sleep History & Sleep Hygiene
3.
Bed Partner Questionnaire
4.
Screening for alcohol and substance use
5.
Review of all medications, including over the
counter medications.