Uyku Laboratuvari: Sleep Architecture Summary

UYKU LABORATUVARI
Patient: KUCUKHACI,NURHAN
DOB: 1/16/1968
Age: 47 yrs 4 mos
Date: 5/7/2015 03:31

PSG Study #:
Referring ,
Physician:
Scored by:
Sex: E
PSG
Tech:
Sleep Architecture Summary
Lights Out: 03:32:36 AM
Lights On: 06:00:36 AM
Total Recording Time

(TRT):
Total Sleep Time (TST):
Total Stage N1:
# REM Episodes: 3
# of Awakenings*:
1
Time (min.)
148
% of TST
% of SPT
% of TRT
100 %
134
100 %
3.7 %
99.6 %
90.5 %
3.4 %
Total Stage N2:
5
52.5
39.2 %
Total Stage N3:
47
35.1 %
Total Stage R:
29.5
22.0 %
Total Movement Time:
Total Wake Time:

WASO:
14
3.7 %
39.0 %
34.9 %
21.9 %
35.5 %
31.8 %
19.9 %
0.0 %
9.5 %
0.5
Wake Time During SPT:
Latency to Sleep Onset:
Latency to REM Sleep:
Latency to Persistent
Sleep:
Sleep Efficiency:
Sleep Maintenance:
0.4 %
0.5
13.5
44.5
13.5
90.5 %
99.6 %
*Sleep Efficiency is time asleep as a % of time in bed. Sleep Maintenance is time asleep as a % of sleep period time.
Awakenings are defined as 30 seconds or more.
Positional Summary
Time (min)
0.0 %
%TST
Left:
Right:
0.0 %
0.0 %
Supine:
134
100.0 %
Prone:
0.0 %
* Positional times are given for TST.
Arousal Summary
Arousal Caused By:
Respiratory Events:
Snore:
LM:
Spontaneous:
Bruxism:
Other:
Total:
Number
24
0
0
0
0
0
24
Index
10.7
0.0
0.0
0.0
0.0
0.0
10.7
Respiratory Events Summary

Number of Respiratory Events Position & Sleep Stage
NREM
REM
NonSupine
NonSupine
supine
Supine
Obstructive Apnea:
0
46
0
15
Mixed Apnea:
0
0
0
0
Central Apnea:
0
21
0
2
All Apneas:
0
67
0
17
Hypopneas:
0
1
0
0
Apneas +
0
68
0
17
Hypopneas:
RERA:
0
0
0
0
A/H INDEX:
0
39.0
0
34.6
RDI:
0
39.0
0
34.6
TOTAL
61
0
23
84
1
85
0
38.1
38.1
By Sleep Stage
NREM
REM
Sleep Time (min.):
Obstructive Apnea:
Mixed Apnea:
Central Apnea:
All Apneas:
Hypopneas:
Apneas +
Hypopneas:
RERA:
Apnea Index:
Hypopnea Index:
A/H INDEX:
RDI:
104.5
46
0
21
67
1
68
29.5
15
0
2
17
0
17
0
38.5
0.6
39.0
39.0
0
34.6
0
34.6
34.6
By Position
NonSupine
Supine
0
134
0
61
0
0
0
23
0
84
0
1
0
85
0
0
0
0
0
0
37.6
0.4
38.1
38.1
TOTAL
134
61
0
23
84
1
85
0
37.6
0.4
38.1
38.1
* RDI denotes the average number of all respiratory events (Apnea+Hypop+RERA) per hour of sleep.
Respiratory Event Durations

Average (sec)
Apnea (NREM):
Hypopnea (NREM):
RERA (NREM):
Apnea (REM):
Hypopnea (REM):
RERA (REM):
27.2
38.7
0
44.3
0
0
Maximum
(sec)
60
38.7
0
60
0
0
Yes
No
Other Respiratory Patterns

Cheyne Stokes:
Hypoventilation:
Hypopnea rule used:
Oxygen Saturation Summary
Total O2 Desaturations:
O2 Desaturation Index:
Average O2 Saturation
(%)
Min O2 Saturation (%)
Max O2 Saturation (%)
0
0
68
39.0
17
34.6
Total
Record
85
34.5
94.4
93.3
93.9
93.5
89
97
84
98
85
98
84
98
Time @ 90% - 100%

(min.)
11.4
80.1
23.3
114.7
Time @ 80% - 89% (min.)
0.1
24.4
6.2
30.8
Wake
NREM
REM
%TST
77.1 %
22.9 %
Time @ 70% - 79% (min.)
0.0
0.0
0.0
0.0
Time @ 60% - 69% (min.)
0.0
0.0
0.0
0.0
Time @ 50% - 59% (min.)
0.0
0.0
0.0
0.0
Time 88% (min.)
0.0
18.8
4.8
23.7
SaO2 <90% for 22.9% of the total sleep time.

Oximetry Histogram:
Limb Movements Summary
LM Arousals:
Isolated Limb
Movements:
Periodic Limb
Movements:
TOTAL Limb
Movements:
Number
0
N/A
Index
0.0
0
N/A
N/A
Number
0
981
1021
Index
0.0
439.3
457.2
* Index is number per hour of sleep.
Snore Summary
Snore Arousals:
Periodic Snores:
TOTAL Snores:
* Index is number per hour of sleep.
Heart Rate Summary

Average Heart Rate
(BPM)
Minimum Heart Rate
(BPM)
Maximum Heart Rate
(BPM)
Hypnograms
Wake
NREM
REM
TOTAL
85
74
73
74
65
58
61
58
92
97
91
97
0.0 %
0.0 %
0.0 %
17.6 %
Uyku Laboratuar
Polisomnografi Raporu
Ad-Soyad
: KUCUKHACI,NURHAN
Protokol
:
Yat Tarihi
: 5/7/2015 03:31
Ya/Cinsiyet
: 47 yrs 4 mos/E
Yaplan lem :Polisomnografi (PSG)
ikayeti: Horlama, tatminsiz uyku, gndz ar uykululuk, tankl apne
Hastaya EEG ve EOG (E1-M2,E2-M1,F3-M2,F4-M1,C3-M2,C4-M1,O1-M2,O2M1), Submantel EMG, tibia bacak EMG, EKG, pulse oksimetre, snore, termistr, nazal
kanl, toraks ve abdomen bantlar kullanlarak polisomnografi yapld.
Kayda saat 03:32:36 AMte baland. 06:00:36 AMde sonlandrld. Toplam 134
dakika uyuyan hastann uyku etkinlii %90.5, uyku latensi 13.5 dk, REM latensi 44.5
dk. bulundu.Uyku evrelerinin dalm N1 % 3.7, N2 % 39.2, N3 % 35.1 ve REM % 22.0
eklinde bulundu. Hasta uykunun %
100.0ini srtst, geri kalan sreyi ise yan pozisyonda geirdi. Uykunun tonik
elemanlarndan 2.evrenin uyku srasndaki sre ve oran uzun olup 3.evrenin sresi ve
oran ksa bulunmutur,fazik elemanlarndan REM uykusunun sre ve oran ksa
bulunmutur.
Uyuduu srece desatrasyon ve arousallara yol aan, horlamann elik
ettii(toplam horlama says: 1021), pozisyonla ilikili olmayan anormal solunumsal
olaylar tespit edildi. AHI (apne hipopne indeksi): 38.1, AI (apne indeksi): 37.6
bulundu.Srtst pozisyonda AHI:
38.1 ve REM evresinde AHI:
34.6 olarak
bulundu.REM evresinde en uzun apnenin 60s, en uzun hipopnenin ise 0s NREM en
uzun apnenin 60s, en uzun hipopnenin ise 38.7s evresinde srd gzlendi.
ODI (oksijen desatrasyonu indeksi): 34.5, minimum satrasyon NREM de %84, REM
Evresinde %85 olarak saptand. . % 90 altnda seyreden Kan SpO2 sre ve oran:30.8
dakika ve %22.9 olarak saptand.
Uyku periodu ierisinde ortaya kan toplam (1 adet hipopne,23 adet santral
apne,61 adet obsruktif apne olmak zere ) 85 adet anormal solunum olaylar
gereklemitir.
Uykuda periyodik bacak hareketi indeks: 0 olarak bulunmutur.

Sonu: Bu bulgulara gre hastada desatrasyon ve arousallara yol aan, horlamann
elik ettii, orta dzeyde (AHI: 38.1, AI: 37.6) santral Uyku Apne Sendromu tespit
edildi.
neriler;
Kilo vermesi(BMI:42.7)
CPAP titrasyonu
KBB muayenesi nerildi.
Dr. rem Yitmen
Nroloji Uzman

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UYKU LABORATUVARI

Date: 5/7/2015 03:31

Total Recording Time

Total Stage N2:

Total Stage N3:

Total Movement Time:

Total Wake Time:

Respiratory Events Summary

Respiratory Event Durations

Other Respiratory Patterns

Oxygen Saturation Summary

Time @ 90% - 100%

Time @ 80% - 89% (min.)

Time @ 60% - 69% (min.)

Time @ 50% - 59% (min.)

Time 88% (min.)

SaO2 <90% for 22.9% of the total sleep time.

* Index is number per hour of sleep.

Heart Rate Summary

Uykuda periyodik bacak hareketi indeks: 0 olarak bulunmutur.

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