Sleep Medicine 43 (2018) 31e33 Contents lists available at ScienceDirect Sleep Medicine journal homepage: www.elsevier.com/locate/sleep Images in Sleep Medicine A not so incidental ﬁnding in a 12-year old with sleepiness and headaches a, b, * b c Lourdes M. DelRosso , Kenneth Martin , Raffaele Ferri University of California, San Francisco, CA, USA Benioff Children's Hospital Oakland, CA, USA Sleep Research Centre, Oasi Research Institute IRCCS, Troina, Italy art i cle i nfo medial-lateral 13 mm anterior-posterior 8.5 mm craniocaudal Article history: dimensions. Received 3 August 2017 Received in revised form Fig. 2 shows wrist actigraphy results pre (2a) and post atenolol (2b) 3 October 2017 administration. A wGT3x-BT actigraph with ActiLife software was Accepted 10 November 2017 used. Fig. 2a suggests delayed sleep phase with estimated total Available online 24 November 2017 sleep time of 10e12 h. Fig. 2b shows improvement in sleep patterns after atenolol was initiated with decreased total sleep time to 6e8h. Fig. 3 shows salivary melatonin levels: Values were suggestive of persistent elevation of melatonin levels in the morning in spite of light exposure starting at 6 AM. Outcome: We postulated that the patient's headaches were 1. Introduction to the case related
Sleep Medicine – Elsevier
Published: Mar 1, 2018
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