amitriptylin

Dear Dr.,
My PCP and I went over my sleep study (3rd) yesterday. He was a little confused with it so went by the report and I was a little confused being so tired and not having a medical education. I said all that to explain why the following may be a little fuzzy. The report said I didn't have any sleep breathing disorder, but that I had fragmented sleep. Something about the EEG maybe being a little more active than it should be. My PCP said I didn't go through the sleep phases properly. Can you put this together and explain a little bit better to me. I know you are greatly handicapped w/o the report, but...  Also, amitriptylin was suggested in the report, yet my neuro. didn't want to give it to me and my PCP didn't understand why. My PCP said, "no wonder you are so tired", and felt I should have the prescription,so... Do you think that this will help?
Thank you.

[CCF Neuro[P] MD, RPS]

Dear Jan:

Sorry that your having sleep problems.  I can't answer your question as I can't see your study over the internet.  The EEG is always active, so I am not sure what was meant by alittle too active.  Was there any mention of first night effect occurring (too long stage I and decreased REM?)?  Although you did not have sleep apnea or hyponeas, did you have frequent arousals due to restless leg syndrome?  I would have your PCP call the sleep physician and see why the elavil was suggested.  Sorry, I can't help you much.

Sincerely,

CCF Neuro MD

[jan]

I had an MRI and the dr. reported: MRI of the brain with and without contrast demonstrated a nonspecific area of abnormal signal in the left centrum semiovale which may represent a small area of gliosis from congenital ischemia or old trauma.  Does anybody have a clue what that means?