H. Kim, D. Y. Yoon, Dong Sun Kim, J. S. Kwon, H. Han
{"title":"A Case of Sick Sinus Syndrome Presenting as Exploding Head Syndrome","authors":"H. Kim, D. Y. Yoon, Dong Sun Kim, J. S. Kwon, H. Han","doi":"10.13078/jksrs.12013","DOIUrl":"https://doi.org/10.13078/jksrs.12013","url":null,"abstract":"Address for correspondence Hyun Jeong Han, MD, PhD Department of Neurology, Myongji Hospital, Kwandong University College of Medicine, 697-24 Hawjeong-dong, Deogyang-gu, Goyang 412-270, Korea Tel: +82-31-810-5403 Fax: +82-31-969-0500 E-mail: neurohan@kd.ac.kr Exploding head syndrome (EHS) is a rare syndrome experienced with explosive noise happening in a head. A 78 year old man visited for intractable headache with explosive noises. His vieo-electroencephalography monitoring showed tachy-brady arrhythmia on electrocardiogram. We diagnosed as a sick sinus syndrome (SSS) presented with EHS. We suggest SSS should be considered with the elderly patients who have EHS symptom. J Korean Sleep Res Soc 2012;9:61-63","PeriodicalId":243131,"journal":{"name":"Journal of Korean Sleep Research Society","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121588839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Suk-Gyoung Park, Dong-Jin Shin, Hyeon-Mi Park, Yeong-Bae Lee, D. Shin, K. Park
{"title":"Diagnostic Approach with Quantitative Analysis of Polysomnography in REM Sleep Behavior Disorder","authors":"Suk-Gyoung Park, Dong-Jin Shin, Hyeon-Mi Park, Yeong-Bae Lee, D. Shin, K. Park","doi":"10.13078/JKSRS.12010","DOIUrl":"https://doi.org/10.13078/JKSRS.12010","url":null,"abstract":"Received October 25, 2012 Revised December 20, 2012 Accepted December 20, 2012 Address for correspondence Kee Hyung Park, MD, PhD Department of Neurology, Gachon University, Gil Medical Center, 1198 Guwol-dong, Namdong-gu, Incheon 405-760, Korea Tel: +82-32-460-3346 Fax: +82-32-460-3344 E-mail: khpark@gachon.ac.kr Objectives: Rapid eye movement sleep behavior disorder (RBD) is characterized by the intermittent absence of electromyogram (EMG) atonia during rapid eye movement (REM) sleep and the increase of motor activity associated with dream mentation. However, ICSD-2 criteria did not suggest validated diagnostic criteria and previous studies had no consistency with value ranged 10-20% of REM sleep without atonia (RSWA) in polysomnography (PSG). We investigated standard value about RSWA of Korean RBD patients. Methods: Thirty one patients diagnosed with RBD and 31 normal ageand sex-matched controls were selected. All RBD patients and normal controls were studied using PSG from 2007 to 2012. ICSD-2 criteria was used to select RBD patients and RSWA. We defined RSWA as increasing amplitude by 4 times that of baseline EMG and occupying at least 50% of each epoch or five 3 second mini-epochs. Results: PSG findings showed increased N1 sleep, periodic leg movement index and decreased N2 sleep in RBD patients compared to normal controls. Mean RSWA was 19.21% [±9.93, standard deviation (SD)], with a range of 5.21-38.22% in RBD patients, whereas the mean RSWA in normal control was 0.43% (±0.74, SD) with a range of 0-2.3%. Conclusions: We quantitatively figured out the characteristics of PSG and RSWA in Korean RBD patients. The outcome shows definite differences between RBD patients and normal controls. This study suggest that we may diagnose RBD who have RSWA over 5% of the REM sleep periods. J Korean Sleep Res Soc 2012;9:46-51","PeriodicalId":243131,"journal":{"name":"Journal of Korean Sleep Research Society","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121025293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Headache Attributed to Nasal Continuous Positive Airway Pressure","authors":"K. Ji, S. Hong","doi":"10.13078/JKSRS.12012","DOIUrl":"https://doi.org/10.13078/JKSRS.12012","url":null,"abstract":"Received November 28, 2012 Revised December 18, 2012 Accepted December 18, 2012 Address for correspondence Seung Bong Hong, MD, PhD Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, Seoul 135-710, Korea Tel: +82-2-3410-3592 Fax: +82-2-3410-0052 E-mail: sbhong@skku.edu Many patients with headaches complain of various sleep symptoms and have obstructive sleep apnea. Usually, treatment of sleep apnea with nasal continuous positive airway pressure (CPAP) may improve or resolve headache in a subset of patients. We report a case of new-onset headache after nasal CPAP therapy in an obstructive sleep apnea syndrome patient. J Korean Sleep Res Soc 2012;9:57-60","PeriodicalId":243131,"journal":{"name":"Journal of Korean Sleep Research Society","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114267733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Lee, Chany Lee, Dae-Young Kim, S. Woo, Ki-Young Jung
{"title":"Effects of Light-Emitting Diode Light on Human Electroencephalogram in Comparison with Fluorescent Light","authors":"G. Lee, Chany Lee, Dae-Young Kim, S. Woo, Ki-Young Jung","doi":"10.13078/JKSRS.12007","DOIUrl":"https://doi.org/10.13078/JKSRS.12007","url":null,"abstract":"Address for correspondence Ki-Young Jung, MD Department of Neurology, Korea University Medical Center, Korea University College of Medicine, 73 Inchon-ro, Seongbuk-gu, Seoul 136-705, Korea Tel: +82-2-920-6649 Fax: +82-2-925-2472 E-mail: jungky@korea.ac.kr Objectives: Selecting suitable illumination is an integral part of increasing productivity in the office or factory, because poor lighting conditions may often cause decreased work efficiency. Light emitting diode (LED) light is becoming recognized as one of the most promising general sources of illumination. We conducted spectral power analysis of electroencephalograms (EEGs) obtained during resting and cognitive task activities to identify the effects on human arousal and cognitive performance under LED light compared with conventional fluorescent light. Methods: Thirteen healthy, right-handed students participated in the present study. Each subject took part in two experimental sessions, one under fluorescent and one under LED lighting conditions. The experimental measurements consisted of a resting state EEG, an event-related potential (ERP) during a visual working memory (VWM) task, and a questionnaire about subjective feelings regarding the lighting conditions. The EEG power spectra, the amplitude and latency of the P300 ERP component, the behavioral responses for the VWM task, and the questionnaire data were compared for the two lighting conditions. Results: The EEG spectral power showed no difference between the LED and fluorescent lighting conditions. The amplitude of the P300 component decreased significantly with increasing numbers of items, while there were no differences between the two lighting conditions. Additionally, behavioral responses and subjective feelings were the same under the two lighting conditions. Conclusions: Our study suggests that there are no significant differences between LED light and fluorescent light on the human arousal state and VWM. J Korean Sleep Res Soc 2012;9:28-33","PeriodicalId":243131,"journal":{"name":"Journal of Korean Sleep Research Society","volume":"136 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127500426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Influence of Physical Discomfort and Sleep Disturbance on the Quality of Life in Patients with Restless Legs Syndrome: A Comparison with Chronic Osteoarthritis","authors":"Geun-Tae Kim, Sang-Hyon Kim, M. Song, Y. Cho","doi":"10.13078/JKSRS.12008","DOIUrl":"https://doi.org/10.13078/JKSRS.12008","url":null,"abstract":"Address for correspondence Yong Won Cho, MD Department of Neurology, Dongsan Medial Center, Keimyung University School of Medicine, 56 Dalseong-ro, Jung-gu, Daegu 700-712, Korea Tel: +82-53-250-7830 Fax: +82-53-250-7840 E-mail: neurocho@gmail.com Objectives: The patients with restless legs syndrome (RLS) had a lower quality of life (QOL) than normal controls. However, it’s debatable which affects their QOL more, disturbing pain or poor sleep quality. We investigated the factors that influence the QOL in patients with RLS, and compared the results to those of patients with chronic osteoarthritis (OA) who were having similar physical discomfort. Methods: This is a prospective case-control study comparing the QOL of 153 RLS patients with those of 153 OA patients. To evaluate the degree of physical discomfort, the QOL and the quality of sleep, all subjects completed various questionnaires, which included the SF-36, the Visual Analogue Scale for pain, Korean versions of the Pittsburg Sleep Quality Index and the Epworth Sleepiness Scale, and the insomnia severity index. We used the χ-test, t-test, analysis of covariance, Pearson’s correlation, multiple stepwise regression methods for analysis. Results: The QOL in patients with RLS was higher than those with OA, though pain severity (physical discomfort) was similar in both groups. However, the quality of sleep in RLS patients was poorer than those with OA. Through multiple stepwise regression analysis, we can recognize that the most important factor affecting the QOL in RLS patients was the severity of their physical symptoms. Conclusions: We found the quality of sleep had less of an influence on the QOL than the physical discomfort of the patients with RLS. J Korean Sleep Res Soc 2012;9:34-40","PeriodicalId":243131,"journal":{"name":"Journal of Korean Sleep Research Society","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127167017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Demographic, Clinical and Polysomnographic Findings in 53 Patients with Rapid Eye Movement Sleep Behavior Disorder","authors":"K. Ji, E. Joo, S. Hong","doi":"10.13078/JKSRS.12009","DOIUrl":"https://doi.org/10.13078/JKSRS.12009","url":null,"abstract":"Address for correspondence Seung Bong Hong, MD, PhD Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, Seoul 135-710, Korea Tel: +82-2-3410-3592 Fax: +82-2-3410-0052 E-mail: sbhong@skku.edu Objectives: We investigated the demographic, clinical and polysomnographic features in rapid eye movement (REM) sleep behavior disorder (RBD). Methods: We enrolled the consecutive 53 patients with untreated RBD confirmed by ICSD-2 criteria. All patients showed typical sleep related injurious or disruptive behavior on history and REM sleep without atonia was revealed in polysomnography (PSG). Results: Male (n=38) to female (n=15) ratio was 2.53 : 1. Mean age of RBD onset and age of diagnosis was 58.9 yrs and 62.9 yrs, respectively. The age of diagnosis was not different but the age of onset was younger in female. Twenty two (41.5%) showed sleep-related injury to self or bed partner in history. Twenty seven (50.9%) showed dream acting out using proximal muscle in PSG. Among them, 12 (44.4%) could recall their dream. Two patients with RBD met the diagnostic criteria of Parkinson’s disease. Nine patients who underwent the University of Pennsylvania Smell Identification test in any reason showed anosomia (n=1) or hyposomia (n=8). PSG showed increased N1, normal N2, decreased N3 and preserved REM sleep. Twentytwo (41.5%) patients could be diagnosed with obstructive sleep apnea (OSA). Conclusions: We identified 53 patients with RBD confirmed with both clinical history and polysomnography. This study shows a higher proportion of female cases, and less association with neurodegenerative disease than earlier reports. OSA prevalence in RBD seems to be higher in this study compared with general population. J Korean Sleep Res Soc 2012;9:41-45","PeriodicalId":243131,"journal":{"name":"Journal of Korean Sleep Research Society","volume":"113 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129728443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Case of Exploding Head Syndrome","authors":"Ho-Sung Ryu, Gha-Hyun Lee, Sang-Ahm Lee","doi":"10.13078/JKSRS.12005","DOIUrl":"https://doi.org/10.13078/JKSRS.12005","url":null,"abstract":"Received March 27, 2012 Revised May 30, 2012 Accepted May 30, 2012 Address for correspondence Sang-Ahm Lee, MD, PhD Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 138-736, Korea Tel: +82-2-3010-3445 Fax: +82-2-474-4691 E-mail: salee@amc.seoul.kr Exploding head syndrome (EHS) is a rare phenomenon of unknown etiology, characterized by a sense of an explosive noise in the head usually in the wake-sleep transition. The sufferers experience a loud bang in their head that seems to originate from inside the head. We describe a 55-year old male with symptoms of a loud bang, spark and electrical current running like noise at sleep onset for one year. On video-electroencephalography monitoring, the events occurred during sleep-wake transition. We diagnosed him to EHS based on typical clinical features. J Korean Sleep Res Soc 2012;9:19-21","PeriodicalId":243131,"journal":{"name":"Journal of Korean Sleep Research Society","volume":"131 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114663149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Case of Zolpidem-Induced Sleep-Related Eating Disorder","authors":"Jihye Hwang, Gha-Hyun Lee, Sang-Ahm Lee","doi":"10.13078/JKSRS.12004","DOIUrl":"https://doi.org/10.13078/JKSRS.12004","url":null,"abstract":"Received April 3, 2012 Revised May 27, 2012 Accepted May 27, 2012 Address for correspondence Sang-Ahm Lee, MD, PhD Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 138-736, Korea Tel: +82-2-3010-3445 Fax: +82-2-474-4691 E-mail: salee@amc.seoul.kr Sleep related eating disorder (SRED) is a parasomnia with recurrent episodes of involuntary eating during an arousal from nighttime sleep with adverse consequences. The mechanism of SRED is still uncertain but it has been suggested to be related to dopaminergic dysfunction. A few cases of SREDs in association with zolpidem have been reported worldwide, but not yet reported in Korea. We report zolpidem-induced SRED in a patient with underlying restless leg syndrome, periodic leg movement and obstructive sleep apnea. J Korean Sleep Res Soc 2012;9:15-18","PeriodicalId":243131,"journal":{"name":"Journal of Korean Sleep Research Society","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127755756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}