The use of polysomnography as a screening test for persons having excessive daytime sleepiness as a sole presenting complaint is controversial. ![]() Although it is not directly useful in diagnosing circadian rhythm sleep disorders, it may be used to rule out other sleep disorders. Polysomnography is used to diagnose, or rule out, many types of sleep disorders, including narcolepsy, idiopathic hypersomnia, periodic limb movement disorder (PLMD), REM behavior disorder, parasomnias, and sleep apnea. Video-EEG polysomnography which combines polysomnography with video recording has been described as more effective than only polysomnography for the evaluation of sleep troubles such as parasomnias, because it allows easier correlation of EEG and polysomnography with bodily motion. In any case, through polysomnographic evaluation, other information can be obtained (such as body temperature or esophageal pH) according to the patient's or the study's needs. But there can also be other information crucial for diagnostics, that are not directly linked with sleep, such as movements, respiration, and cardiovascular parameters. Polysomnography data can be directly related to sleep onset latency (SOL), REM-sleep onset latency, the number of awakenings during the sleep period, the total sleep duration, percentages and durations of every sleep stage, and the number of arousals. However, at times nurses and respiratory therapists perform polysomnography without specific knowledge and training in the field. Polysomnography should only be performed by technicians and technologists who are specifically accredited in sleep medicine. Limited channel polysomnography, or unattended home sleep tests, is called Type II – IV channel polysomnography. Polysomnography no longer includes NPT monitoring for erectile dysfunction, as it is reported that all male patients will experience erections during phasic REM sleep, regardless of dream content. After the identification of the sleep disorder sleep apnea in the 1970s, the breathing functions, respiratory airflow, and respiratory effort indicators were added along with peripheral pulse oximetry. The PSG monitors many body functions, including brain activity ( EEG), eye movements ( EOG), muscle activity or skeletal muscle activation ( EMG), and heart rhythm ( ECG)1. It records the physiological changes that occur during sleep, usually at night, though some labs can accommodate shift workers and people with circadian rhythm sleep disorders who sleep at other times. Type I polysomnography is a sleep study performed overnight while being continuously monitored by a credentialed technologist. ![]() ![]() The name is derived from Greek and Latin roots: the Greek πολύς ( polus for "many, much", indicating many channels), the Latin somnus ("sleep"), and the Greek γράφειν ( graphein, "to write"). The test result is called a polysomnogram, also abbreviated PSG. Polysomnography ( PSG), a type of sleep study, is a multi-parameter study of sleep and a diagnostic tool in sleep medicine. Eye movements highlighted by red rectangle.
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