Sleep and sleep-related disorders in the elderly 20051027
REM Rapid Eye Movement REM Zzz Non-REM
90 180 270 360 90 How old is the elderly in sleep? 40 In: Primer of Polysomnography
Circadian rhythm 24 circadian rhythm
1 4 10 PM 6 AM 0 AM 6 PM 6 Advanced Sleep Phase Syndrome: ASPS ASPS 18 19 20 21 22 23 0 1 2 3 4 5 6 7 8 9 10 18 19 20 21 22 23 0 1 2 3 4 5 6 7 8 9 10
ASPS ASPS 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 0 1 2 3 4 5 6 7 8 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 0 1 2 3 4 5 6 7 8 ASPS
Lux 10000Lux 1000Lux 500Lux 100Lux 2Lux 0.01Lux 0.001Lux 2500Lux % 30 20 3 0 1 2 3 10 0 1000 2000 Lux
43%
1.6 1.4 1.2 1.0
Sleep crisis in Psychiatry
Delirium 84 Alzheimer 17 36.4 158/96mmHg 4090/
MRI FLAIR 76 3 2 37.2 108/68mmHg 90/
LOW 28mg/dl H2
Depression etc.
4 SSRI
sundowning Actigraph
Sundowning Sundowning 0 6 12 18 24 sundowning Sundowning
REM
Sleep Apnea Syndrome SAS SAS!!
Polysomnography PSG
SAS PSG SpO 2 30 1 500 SAS SAS
SAS 246 SAS He J, et al. Chest 1988;94:9 SAS SAS Young T, et al. Arcn Intern Med 2002;162:893 30 20 (%) 10 0 35 45 55 65 75 85 SAS
SAS Continuous Positive Airway Pressure CPAP SAS golden standard 1 20 ADL 1 4500 Restless legs syndrome RLS
Periodic limb movement in sleep PLMS RLS80% Periodic limb movement disorder PLMD PLMS
PLMS Knoblauch A, et al. J Neurol Neurosurg Psychiatry 2002;73:428 RLS PLMD etc. PLMS
REM Sleep Behavior Disorder RBD REM 70 RBD 10 RBD 15 10 Boeve BF, et al. Neurology 2003;61:40
This slideshow was produced by Masahiko Atsumi, MD. http://www.ops.dti.ne.jp/~ueshima/