What is sleep stage scoring?

Updated: Aug 19, 2019
  • Author: Andres A Gonzalez, MD, MMM, FACNS; Chief Editor: Selim R Benbadis, MD  more...
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Sleep stage scoring is a rule-based neurophysiological characterization requiring an understanding of the basic mechanisms underlying the generation of cephalic electric potentials coupled with eye movements and muscle signals. Signals of interest are generated from the brain (ie, cortex and deeper structures), facial muscles as noted by the submental EMG, and eye movement as detected by the EOG.

Interference with the signals of interest is encountered through many mechanisms, including physiological attenuation of the cerebral electric potentials by scalp muscle and bone, intrusion into the signal by slow cyclic respiration, movement, ECG signal, external electric fields, and impaired contacts between the recording electrodes and the skin surface. Discriminating true signal from artifact can be one of the most challenging aspects of scoring sleep stages.

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