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Intro
Contents
About the Authors
1: Physiological Basics of Healthy and Disturbed Sleep
1.1 History of Sleep Medicine
1.2 Classification of Sleep Disorders
1.3 Phenomenology of Sleep
1.4 Physiological Alterations During Sleep
1.4.1 Cardiovascular System During Sleep
1.4.2 Thermoregulation
1.4.3 Hormone System and Sleep
1.5 Circadian Rhythm
1.6 Sleep Regulation
1.7 Functions of Sleep
1.8 Dreaming
1.8.1 Definitions
1.8.2 Dream Recall
1.8.3 General Characteristics of Dreams
1.8.4 Correlation Between Wakefulness and Dream

1.8.5 Function of Dreams
1.9 Questions
Further Reading
2: Diagnostic Methods
2.1 History Taking
2.1.1 Sleep-Related Personal Anamnesis
2.1.2 Sleep-Related History Compiled by Third Parties
2.1.3 History Taking Regarding Sleepiness, Fatigue, and Daytime Performance
2.1.4 Further History Taking for Differential Diagnostic: Assessment of Possible Origins of Sleep Disorders
2.2 Laboratory Parameters for Sleep Disorders
2.3 Sleep Questionnaire
2.3.1 Insomnia Questionnaire
2.3.2 Questionnaires for the Assessment of Sleep-Related Breathing Disorders

2.3.3 Questionnaire Regarding Restless Legs Syndrome
2.4 Physical Examination
2.5 Actigraphy
2.6 Outpatient Step-by-Step Diagnostics for Sleep-Related Breathing Disorders and Polygraphy Systems
2.7 Polysomnography (PSG)
2.7.1 Standard Parameters of Polysomnography (PSG)
2.7.1.1 Measurement of Blood Pressure During Sleep
2.7.2 Parameters to Be Reported for Polysomnography (PSG)
2.7.2.1 Sleep Scoring Data
2.7.2.2 Phenomenology and Classification of Arousals
2.7.3 Polysomnography (PSG) in Patients with Insomnia

2.7.4 Polysomnography (PSG) in Patients with Periodic Limb Movements in Sleep and Patients with Restless Leg Syndrome
2.7.5 Polysomnography (PSG) in Cases of Bruxism
2.7.6 Polysomnography (PSG) in Cases of REM Behavior Disorders
2.7.7 Polysomnography (PSG) in Cases of Rhythmic Movement Disorders in Sleep
2.7.8 Polysomnography (PSG) in Cases of Sleep-Related Breathing Disorders
2.8 Examination of Sleepiness- and Fatigue-Related Daytime Impairments
2.8.1 Diagnostics of Daytime Sleepiness
2.8.1.1 Diagnostic Procedures of Central Nervous System Alertness

Multiple Sleep Latency Test (MSLT)
Maintenance of Wakefulness Test (MWT)
Pupillographic Sleepiness Test
2.8.1.2 Diagnostic Procedures to Assess Vigilance
Vigilance Test According to Quatember and Maly
Sub-test of Vigilance of the Test Battery for Attentional Performance
2.8.1.3 Diagnostic Procedures to Assess Selective Attention
Achievement Motivation Test Series, Version 3.00 of the Vienna Test System
Go/NoGo of the Test Battery for Attentional Performance
2.8.1.4 Diagnostic Procedures to Assess Divided Attention

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