• Sleep Apnea

    How can you tell if you have Sleep Apnea? Ask your spouse, family, or those around you. Here are some questions to ask: 1. Are you a loud, habitual snorer, disturbing your companion? 2. Do you feel tired and groggy in the morning? 3. Do you experience sleepiness and fatigue during the day? 4. Are you overweight? 5. Have you been observed to choke, gasp, or hold your breath during sleep? If you answered yes to one or more of these questions, you should discuss your symptoms with your physician. Blood oxygen saturation is reduced in the entire body during apnea -- sometimes producing serious irregular heartbeats and significantly reduced oxygen to the brain. Common symptoms of Sleep Apnea are a decreased ability to concentrate; loss of energy and/or fatigue; mild to marked depression; irritability; short temper; morning headaches; forgetfulness; anxiety; and, most frequently, excessive daytime sleepiness. Read More
  • Narcolepsy

    Narcolepsy, and related disorders, is typified by the inability to stay awake. Narcoleptics may suddenly fall asleep while they are engaged in an activity (for example, while waiting for a traffic light to change). Attacks are occasionally brought on by laughing, crying, and other strong emotions in a group setting. This illness often goes undiagnosed for years. Read More
  • Insomnia

    Insomnia is an inability to fall asleep or stay asleep. Attacks are often brought on by stress; worry; depression; another illness; persistent pain; and sleeping pill habits. Evaluating insomnia is important even if the condition seems temporary. Read More
  • Other Sleep Disorders

    Some people suffer from nightmares, night terrors, sleep walking, excessive body jerks, or uncontrollable leg movements. These people often get less than four and one-half hours of restorative sleep -something our bodies need. Even though a person spends ten hours in bed, they may only get two hours of restorative sleep. It is important to have your sleep analyzed if you find yourself waking up more tired than when you went to bed. Read More
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Middle Cerebral Artery Dissection in Childhood

Bernad P, Dooling E (Department of Neurology, Massachusetts General Hospital, Boston)

Nontraumatic, intracranial dissections have rarely been reported in otherwise healthy children, so documentation of such cases is helpful to promote recognition of the disorder. Three white children, aged 5, 13, and 15 years, presented with acute strokes characterized by a relapsing and remitting course over a few hours and were found to have middle cerebral artery (MCA) dissection. Headache, gait difficulty, and speech disturbance occurred abruptly during normal play and were followed by hemiplegia with aphasia or anosognosia. Systemic or cardiac disease and hematplogic disorders were excluded. Nonin-vasive studies were unremarkable. Angiography disclosed the string sign in the MCA, indicating vascular dissection which was confirmed at autopsy in one case. The surviving children showed better recovery of speech and language than sensorimotor function on follow up. Angiography remains the definitive procedure in childhood stroke. In cases of dissection affecting children* (3 above, 7 from literature), the MCA appears to be the most vulnerable intracranial vessel.

- January-February 1979 Stroke Vol 10. No 1, Page 98