sleep apnea and leg jerks

[Pat__0__0]

  I had a sleep study done in August.  However. My neurogolist never got back to me with the results.  I called the office and requested my results be sent to my primary physican.  This was in Nov.   I was shocked that I was not notified before about the results.  My avg. oxgen level was 81% and I had 119 leg jerks in a four hour period.  Plus, I never went into the deepest sleep level at all during the testing period. I have been diagnosed with Chronic Fatigue and Fibromyaliga previously.  
  Since my neurogolist did not see fit to get back with me, what kind of specialist should I see about this condition.  I am quite concern about my sleepiness in the daytime esp. during church, T.V. or any type of activity when I am sitting still.   I have noticed a change in my driving ability on occassion.  Thanks for your response and patience  in this matter.
Dear Pat:
Sorry to hear about your problems and frustrations.  I think your best bet would be to see a neurologist who specializes in sleep disorders.  Without seeing the test results it is difficult to say what is causing the decreased oxygenation during sleep.  There are two disorders that can cause your legs to jerk in sleep, either Restless Leg Syndrome or Periodic Limb Movement Disorder.  These disorders may be primary or may be from sleep apnea.  If secondary, the sleep apnea must be treated before the jerks will go away.  If the leg movements are primary, then certain medications can be given to ameliorate the jerks.  The lack of having a normal sleep cycle with quiet and active sleep may be playing a large role in your fatigue.  I would seek out a sleep expert in your area.  If your in the Cleveland area then we have some of the best sleep experts in the country.  You can call 1-800-CCF-care for information about making an appointment.
Sincerely,
CCF Neuro[P] MD, RPS