Anthony Izzo

By Ivia Rivera-Agosto and Anthony Izzo

Rapid eye movement (REM) sleep behavior disorder (RBD) is a parasomnia exclusively occurring during REM sleep. Viewing this disorder through a neurologic lens can provide longitudinal context for patients and their treating physicians, given the well-known association of RBD with a specific group of neurodegenerative disorders: the alpha synucleinopathies. It is important to have a high degree of clinical suspicion, the ability to make an accurate diagnosis, manage the symptoms, and more importantly monitor the patient for evolution of possible underlying neurological pathology. This chapter will discuss aspects of the clinical history, physical examination, ancillary testing, and diagnostic criteria.

Part of the book: Updates in Sleep Neurology and Obstructive Sleep Apnea

By Jimmy Hanna and Anthony Izzo

Given the increased prevalence of obstructive sleep apnea (OSA) multiple treatment modalities including medical and surgical have been developed. First-line therapy for most of the people with obstructive sleep apnea (OSA) consists of behavioral modification, including weight loss if appropriate, and positive airway pressure (PAP) therapy. Patients who fail or do not tolerate PAP therapy, treatment options include oral appliances and surgical therapy. Surgical therapies have variable efficacy and are very important tool on OSA management in selected patients. This chapter will review the current surgical approaches sleep specialists use when other treatment options fail to accomplish the valuable outcome.

Part of the book: Updates in Sleep Neurology and Obstructive Sleep Apnea