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Book Reviews
January 2004

Sleep Medicine Pearls

Author Affiliations


Arch Neurol. 2004;61(1):153. doi:10.1001/archneur.61.1.153-a

2nd ed, by Richard B. Berry, MD, $45, 388 pp, paperback, Philadelphia, Pa, Hanley & Belfus, 2003.

This is the second edition of an excellent text on sleep medicine by Richard B. Berry, MD, a professor of medicine in the division of pulmonary and critical care medicine of the University of Florida, and director of the sleep laboratories at the Shands and Gainesville Veterans Affairs medical centers. It presumes no knowledge of sleep medicine, and the level of expertise in pulmonary medicine is very high, so it is a good text for neurologists to study. It is composed of 22 chapters on the fundamentals of sleep medicine. Each chapter contains illustrative case reports, followed by questions and discussions. This clinical case–based Socratic method is effective in teaching how to approach many of the most commonly encountered problems in patients with sleep disorders. The approach is very practical, with valuable information on how to perform and interpret continuous positive airway pressure (CPAP) titrations, including handling mask leaks; how to define hypopneas; how to interpret the recent Medicare guidelines for CPAP therapy; and the use of auto-CPAP and nasal pressure monitoring.

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