Deborah Lin-dyken - Academia.edu (original) (raw)
Papers by Deborah Lin-dyken
OBJECTIVE: Compare the prevalence of polysomnographically documented periodic limb movements in s... more OBJECTIVE: Compare the prevalence of polysomnographically documented periodic limb movements in sleep (PLMS) in subjects with and without waking paretic/plegic limbs. BACKGROUND: Our research and anecdotal reports of stroke and spinal cord injury reveals some subjects without waking clinical or electromyographic (EMG) motor activity have significant PLMS and body movements in sleep, whereas normal controls generally show a decrease in body movements during sleep. These findings indicate despite clinical paralysis neuronal connections still exist between cortex/brainstem sleep centers and spinal movement centers, and aggressive physical/functional electrical stimulation therapies may allow regeneration of additional neural signals below injury levels and some recovery of diurnal movement. DESIGN/METHODS: Over 4 years, as part of an IRB approved study, we reviewed 7061 consecutively encountered PSGs from the University of Iowa Sleep Center’s data bank and compared the proportion with ...
Reference Module in Neuroscience and Biobehavioral Psychology
Oxford Medicine Online
The study of stroke and sleep is in its infancy, as exemplified by the fact that polysomnography ... more The study of stroke and sleep is in its infancy, as exemplified by the fact that polysomnography (PSG) has only recently been used to help confirm that obstructive sleep apnea (OSA) is a stroke risk factor. There is a strong association between stroke and sleep problems, as stroke can cause, and also may result from, some sleep disorders. Symptoms of OSA, the most frequent and dangerous sleep problem associated with stroke, often suggest other primary sleep disorders. OSA should be the first concern, and, if diagnosed, positive airway pressure (PAP) and positional therapies are first-line treatments. If OSA is ruled out, good sleep hygiene through cognitive–behavioral techniques (cognitive, sleep restriction, stimulus control, and progressive relaxation therapies) are often recommended, as stroke patients are prone to the adverse effects of medications routinely used for sleep problems.
Nursing Research, 2017
Background-The National Institutes of Health (NIH) Patient Reported Outcomes Measurement Informat... more Background-The National Institutes of Health (NIH) Patient Reported Outcomes Measurement Information System (PROMIS) has self-reported health measures available for both pediatric and adult populations, but no pediatric measures are available currently in the sleep domains. Objective-The purpose of this observational study was to perform preliminary validation studies on age-appropriate, self-reported sleep measures in healthy adolescents. Methods-This study examined 25 healthy adolescents' self-reported daytime sleepiness, sleep disturbance, sleep-related impairment, and sleep patterns. Healthy adolescents completed a physical exam at the NIH Clinical Center (Bethesda, MD), had no chronic medical conditions, and were not taking any chronic medications. The Cleveland Adolescent Sleepiness Questionnaire (CASQ), PROMIS Sleep Disturbance (v. 1.0; 8a), and PROMIS Sleep-Related Impairment (v. 1.0; 8b) questionnaires were completed, and sleep patterns were assessed using actigraphy.
Atlas of Sleep Medicine, 2014
The clinical diagnosis of narcolepsy often depends on the coexistence of pathologic sleepiness an... more The clinical diagnosis of narcolepsy often depends on the coexistence of pathologic sleepiness and cataplectic attacks. We present a case of narcolepsy unequivocally diagnosed after daytime, split-screen, video-polysomnographic monitoring captured a prolonged cataplectic event during which the patient was coherent, conversant, and in electroencephalographic rapid eye movement sleep.
Common and Uncommon Presentations, 2010
Page 259. Case 33 A child with behavioral problems and violent sleep behavior leading to trauma M... more Page 259. Case 33 A child with behavioral problems and violent sleep behavior leading to trauma Mark Eric Dyken and Deborah C. Lin-Dyken Clinical history A girl of 8 years and 5 months with a history of attention deficit hyperactivity ...
Atlas of Sleep Medicine, 2014
Iowa medicine : journal of the Iowa Medical Society, 1996
Common and Uncommon Presentations, 2010
Page 218. Case 28 Seizure, parasomnia or behavioral disorder? Mark Eric Dyken and Deborah C. Lin-... more Page 218. Case 28 Seizure, parasomnia or behavioral disorder? Mark Eric Dyken and Deborah C. Lin-Dyken Clinical history A 10-year-old girl, who lived with her paternal grandmother as her divorced parents had recently failed ...
Common and Uncommon Presentations, 2010
Pediatrics International, 2007
Sleep plays a critical role in normal development and the effects of culture upon sleep are espec... more Sleep plays a critical role in normal development and the effects of culture upon sleep are especially important in young children. The purpose of the present paper was to determine the sleep times and the prevalence of sleep problems and co-sleeping in children from Shanghai. A cross-sectional design incorporating parental self-report was used to investigate the sleep-related habits of 1129 children, 1-23 months of age, randomly selected from the five districts of Shanghai, China. The total sleep time (TST) of Chinese young children was less than that reported in Western populations, and the prevalence of sleep problems (65.97%) was higher than that for Western children. The sleep problems of children were significantly related to perinatal factors and certain behavior problems. The rate of bed sharing did not differ between boys and girls but significantly increased with age from 44.07% in 1-month-olds to 71.51% in 23-month-olds. Sleep problems that cross cultures result from a variety of behavioral and health problems. Nevertheless, it is speculated that reduced TST in Chinese children may be related to factors unique to China, such as co-sleeping and child-rearing practices.
Atlas of Sleep Medicine, 2014
Atlas of Sleep Medicine, 2014
Atlas of Sleep Medicine, 2014
Atlas of Sleep Medicine, 2014
Atlas of Sleep Medicine, 2014
Seminars in Neurology, 2001
A dilemma can arise when attempting to distinguish a nocturnal seizure from a parasomnia because ... more A dilemma can arise when attempting to distinguish a nocturnal seizure from a parasomnia because both phenomena can be characterized by a general increase in motor and autonomic activity with a transient reduction in the level of consciousness. An additional problem is that an accurate clinical diagnosis generally relies heavily on a detailed history. As sleep related disorders occur at a time when the patient is not fully cognizant, polysomnographic analysis can on occasion supplement for the intrinsic paucity of detailed history. Simultaneously, correlating the clinical and polysomnographic analysis immediately prior to, during, and following an event of interest, can be helpful in differentiating nocturnal seizures from parasomnias.
Pediatric Neurology, 1997
We evaluated the utility of accurate clinical and electrophysiologic characterization in the diag... more We evaluated the utility of accurate clinical and electrophysiologic characterization in the diagnosis of the rhythmic movement disorder. Seven children with an age range of 1-12 years, referred for evaluation of relatively violent nocturnal behaviors, were clinically assessed during split-screen, video-polysomnographic monitoring sessions, as they experienced unusual nocturnal movements. Differential diagnoses included selfinjurious waking behaviors, seizures, and parasomnias such as somnambulism (sleepwalking), pavor nocturnus (night terrors), and the rhythmic movement disorder (headbanging, bodyrocking, and legbanging). The character of movements, level of responsiveness, and electrophysiologic stage of sleep was determined during typical spells. In all the subjects experienced 37 periods of headbanging, bodyrocking, and legbanging that were strongly associated with stage 2 non-rapid eye movement sleep and K-complexes. The patients were unresponsive during and amnestic for the events. Because the differential for the rhythmic movement disorder includes a large number of disorders associated with abnormal and at times violent nocturnal movements, diagnosis can be greatly enhanced by documenting suspected nocturnal behaviors with thorough clinical assessment during split-screen, videopolysomnographic analysis.
Neurology, 1994
The clinical diagnosis of narcolepsy often depends on the coexistence of pathologic sleepiness an... more The clinical diagnosis of narcolepsy often depends on the coexistence of pathologic sleepiness and cataplectic attacks. We present a case of narcolepsy unequivocally diagnosed after daytime, split-screen, video-polysomnographic monitoring captured a prolonged cataplectic event during which the patient was coherent, conversant, and in electroencephalographic rapid eye movement sleep.
OBJECTIVE: Compare the prevalence of polysomnographically documented periodic limb movements in s... more OBJECTIVE: Compare the prevalence of polysomnographically documented periodic limb movements in sleep (PLMS) in subjects with and without waking paretic/plegic limbs. BACKGROUND: Our research and anecdotal reports of stroke and spinal cord injury reveals some subjects without waking clinical or electromyographic (EMG) motor activity have significant PLMS and body movements in sleep, whereas normal controls generally show a decrease in body movements during sleep. These findings indicate despite clinical paralysis neuronal connections still exist between cortex/brainstem sleep centers and spinal movement centers, and aggressive physical/functional electrical stimulation therapies may allow regeneration of additional neural signals below injury levels and some recovery of diurnal movement. DESIGN/METHODS: Over 4 years, as part of an IRB approved study, we reviewed 7061 consecutively encountered PSGs from the University of Iowa Sleep Center’s data bank and compared the proportion with ...
Reference Module in Neuroscience and Biobehavioral Psychology
Oxford Medicine Online
The study of stroke and sleep is in its infancy, as exemplified by the fact that polysomnography ... more The study of stroke and sleep is in its infancy, as exemplified by the fact that polysomnography (PSG) has only recently been used to help confirm that obstructive sleep apnea (OSA) is a stroke risk factor. There is a strong association between stroke and sleep problems, as stroke can cause, and also may result from, some sleep disorders. Symptoms of OSA, the most frequent and dangerous sleep problem associated with stroke, often suggest other primary sleep disorders. OSA should be the first concern, and, if diagnosed, positive airway pressure (PAP) and positional therapies are first-line treatments. If OSA is ruled out, good sleep hygiene through cognitive–behavioral techniques (cognitive, sleep restriction, stimulus control, and progressive relaxation therapies) are often recommended, as stroke patients are prone to the adverse effects of medications routinely used for sleep problems.
Nursing Research, 2017
Background-The National Institutes of Health (NIH) Patient Reported Outcomes Measurement Informat... more Background-The National Institutes of Health (NIH) Patient Reported Outcomes Measurement Information System (PROMIS) has self-reported health measures available for both pediatric and adult populations, but no pediatric measures are available currently in the sleep domains. Objective-The purpose of this observational study was to perform preliminary validation studies on age-appropriate, self-reported sleep measures in healthy adolescents. Methods-This study examined 25 healthy adolescents' self-reported daytime sleepiness, sleep disturbance, sleep-related impairment, and sleep patterns. Healthy adolescents completed a physical exam at the NIH Clinical Center (Bethesda, MD), had no chronic medical conditions, and were not taking any chronic medications. The Cleveland Adolescent Sleepiness Questionnaire (CASQ), PROMIS Sleep Disturbance (v. 1.0; 8a), and PROMIS Sleep-Related Impairment (v. 1.0; 8b) questionnaires were completed, and sleep patterns were assessed using actigraphy.
Atlas of Sleep Medicine, 2014
The clinical diagnosis of narcolepsy often depends on the coexistence of pathologic sleepiness an... more The clinical diagnosis of narcolepsy often depends on the coexistence of pathologic sleepiness and cataplectic attacks. We present a case of narcolepsy unequivocally diagnosed after daytime, split-screen, video-polysomnographic monitoring captured a prolonged cataplectic event during which the patient was coherent, conversant, and in electroencephalographic rapid eye movement sleep.
Common and Uncommon Presentations, 2010
Page 259. Case 33 A child with behavioral problems and violent sleep behavior leading to trauma M... more Page 259. Case 33 A child with behavioral problems and violent sleep behavior leading to trauma Mark Eric Dyken and Deborah C. Lin-Dyken Clinical history A girl of 8 years and 5 months with a history of attention deficit hyperactivity ...
Atlas of Sleep Medicine, 2014
Iowa medicine : journal of the Iowa Medical Society, 1996
Common and Uncommon Presentations, 2010
Page 218. Case 28 Seizure, parasomnia or behavioral disorder? Mark Eric Dyken and Deborah C. Lin-... more Page 218. Case 28 Seizure, parasomnia or behavioral disorder? Mark Eric Dyken and Deborah C. Lin-Dyken Clinical history A 10-year-old girl, who lived with her paternal grandmother as her divorced parents had recently failed ...
Common and Uncommon Presentations, 2010
Pediatrics International, 2007
Sleep plays a critical role in normal development and the effects of culture upon sleep are espec... more Sleep plays a critical role in normal development and the effects of culture upon sleep are especially important in young children. The purpose of the present paper was to determine the sleep times and the prevalence of sleep problems and co-sleeping in children from Shanghai. A cross-sectional design incorporating parental self-report was used to investigate the sleep-related habits of 1129 children, 1-23 months of age, randomly selected from the five districts of Shanghai, China. The total sleep time (TST) of Chinese young children was less than that reported in Western populations, and the prevalence of sleep problems (65.97%) was higher than that for Western children. The sleep problems of children were significantly related to perinatal factors and certain behavior problems. The rate of bed sharing did not differ between boys and girls but significantly increased with age from 44.07% in 1-month-olds to 71.51% in 23-month-olds. Sleep problems that cross cultures result from a variety of behavioral and health problems. Nevertheless, it is speculated that reduced TST in Chinese children may be related to factors unique to China, such as co-sleeping and child-rearing practices.
Atlas of Sleep Medicine, 2014
Atlas of Sleep Medicine, 2014
Atlas of Sleep Medicine, 2014
Atlas of Sleep Medicine, 2014
Atlas of Sleep Medicine, 2014
Seminars in Neurology, 2001
A dilemma can arise when attempting to distinguish a nocturnal seizure from a parasomnia because ... more A dilemma can arise when attempting to distinguish a nocturnal seizure from a parasomnia because both phenomena can be characterized by a general increase in motor and autonomic activity with a transient reduction in the level of consciousness. An additional problem is that an accurate clinical diagnosis generally relies heavily on a detailed history. As sleep related disorders occur at a time when the patient is not fully cognizant, polysomnographic analysis can on occasion supplement for the intrinsic paucity of detailed history. Simultaneously, correlating the clinical and polysomnographic analysis immediately prior to, during, and following an event of interest, can be helpful in differentiating nocturnal seizures from parasomnias.
Pediatric Neurology, 1997
We evaluated the utility of accurate clinical and electrophysiologic characterization in the diag... more We evaluated the utility of accurate clinical and electrophysiologic characterization in the diagnosis of the rhythmic movement disorder. Seven children with an age range of 1-12 years, referred for evaluation of relatively violent nocturnal behaviors, were clinically assessed during split-screen, video-polysomnographic monitoring sessions, as they experienced unusual nocturnal movements. Differential diagnoses included selfinjurious waking behaviors, seizures, and parasomnias such as somnambulism (sleepwalking), pavor nocturnus (night terrors), and the rhythmic movement disorder (headbanging, bodyrocking, and legbanging). The character of movements, level of responsiveness, and electrophysiologic stage of sleep was determined during typical spells. In all the subjects experienced 37 periods of headbanging, bodyrocking, and legbanging that were strongly associated with stage 2 non-rapid eye movement sleep and K-complexes. The patients were unresponsive during and amnestic for the events. Because the differential for the rhythmic movement disorder includes a large number of disorders associated with abnormal and at times violent nocturnal movements, diagnosis can be greatly enhanced by documenting suspected nocturnal behaviors with thorough clinical assessment during split-screen, videopolysomnographic analysis.
Neurology, 1994
The clinical diagnosis of narcolepsy often depends on the coexistence of pathologic sleepiness an... more The clinical diagnosis of narcolepsy often depends on the coexistence of pathologic sleepiness and cataplectic attacks. We present a case of narcolepsy unequivocally diagnosed after daytime, split-screen, video-polysomnographic monitoring captured a prolonged cataplectic event during which the patient was coherent, conversant, and in electroencephalographic rapid eye movement sleep.