Autonomic Nervous System and Sleep: Order and Disorder

ISBN-13: 9783030622657 / Angielski / Miękka / 2022

Chokroverty, Sudhansu

Opis

This comprehensive book addresses all elements of the autonomic nervous system (ANS) and sleep interaction, as well as ANS alterations in sleep and how these impact primary and comorbid sleep dysfunction. It meets the market need for a comprehensive text that deals with ANS changes in sleep and how these impact various neurological, medical, and primary sleep disorders. 

Organized into three parts, the book begins with a review of the foundational bodily systems that participate in coordination of ANS activity with other homeostatic responses such as respiration, cardiovascular reflexes, and responses to stress. Part two then examines methods of laboratory evaluation and the “why, when, how” of interpreting heart rate variability in sleep. To conclude, the final section of the book broadly covers the many clinical aspects of ANS, including insomnia, restless leg syndrome, sleep apnea, sleep related epilepsy, and acute autonomic neuropathy.Autonomic Nervous System and Sleep enhances the reader's understanding of the pathophysiology of various disorders, and explains how to apply this profound understanding is important to new lines of therapy to improve morbidity.

Spis treści

Section I: Basics

Central Autonomic Network

Afferent and efferent Autonomic Nervous Systems (including Sympathetic, Parasympathetic, and Enteric Nervous systems)

Functional neuroanatomy of Sleep 

Physiological changes in ANS during sleep

Brain-heart interaction: cardiovascular reflexes (including Baroreceptor reflex and Baroreceptor sensitivity in sleep)

Homeostatic and Circadian regulation of ANS and Sleep

Nocturnal arousal phenomenon and the ANS

Section II: Laboratory Assessment

Laboratory Assessment of ANS: Synopsis of the tests

Method of Laboratory Evaluation of ANS in Wakefulness and Sleep 

Heart rate Variability (HRV) in normal and abnormal sleep

Laboratory Evaluation of Sleep Disorders: PSG, MSLT, MWT, Actigraphy

Section III: Clinical Aspects

An approach to a patient with suspected Autonomic failure and sleep dysfunction 

Classification of Autonomic failure with sleep dysfunction

Disorders of the Autonomic Nervous System and Sleep Dysfunction

Autonomic overactivity and Primary Sleep Disorders

Autonomic overactivity and neurological or general medical condition associated with sleep disorders

Autonomic failure and Primary Sleep Disorders

Autonomic failure and neurological or general medical condition associated with sleep disorders

O autorze

Sudhansu Chokroverty, MD

Hackensack Meridian Health

Neuroscience Institute at JFK

JFK University Medical Center

Seton Hall University &  Hackensack Meridian 

School of Medicine at Seton Hall

Rutgers Robert Wood Johnson Medical School

New Jersey, USA

 

Pietro Cortelli, MD, PhD

IRCCS Istituto di Scienze Neurologiche

Department of Biomedical

NeuroMotor Sciences 

University of Bologna

Bologna, Italy