Disorders of Excessive Somnolence
Hypersomnolence, Idiopathic
Wakefulness
Idiopathic Pulmonary Fibrosis
Scoliosis
Arthritis, Juvenile
Purpura, Thrombocytopenic, Idiopathic
Idiopathic Interstitial Pneumonias
CSF hypocretin-1 (orexin-A) concentrations in narcolepsy with and without cataplexy and idiopathic hypersomnia. (1/15)
We measured cerebrospinal fluid (CSF) hypocretin-1 levels in 11 patients with narcolepsy-cataplexy, five with narcolepsy without cataplexy and 12 with idiopathic hypersomnia (IHS). All patients were Japanese. As reported in Caucasian patients, undetectable or very low hypocretin-1 levels were observed in most (9 out of 11) Japanese narcolepsy--cataplexy patients. Our hypocretin-deficient narcoleptics included three prepubertal cases within few months after the disease onset. All nine hypocretin-deficient patients were human leuckocyte antigen (HLA) DR2 positive, while two who had normal CSF hypocretin-1 levels were HLA DR2 negative. In contrast, none of the narcolepsy without cataplexy and IHS subjects had undetectable low levels. Low CSF hypocretin-1 is therefore very specific for HLA DR2 positive narcolepsy-cataplexy, and the deficiency is likely to be established at the early stage of the disease. (+info)Psychiatric aspects of organic sleep disorders. (2/15)
In recent years, a number of studies have attempted to characterize psychological disturbances related to various sleep disorders. The objective of this type of research is to investigate the possibility that psychopathology may represent an etiological factor, a complication, and/or a target for treatment. In addition, disordered sleep can present itself in a complex and atypical fashion in which the primary sleep-related component may not be immediately apparent. This article reviews the evidence for a relationship between organic sleep disorders and psychiatric morbidity. Generally, it can be concluded that organic sleep disorders have a profound negative impact on most domains of health-related quality of life. Results for the sleep disorders that have been studied (narcolepsy idiopathic hypersomnia, sleep apnea/hypopnea syndrome, restless legs syndrome, periodic limb movement disorder, and circadian sleep disorders) show strong evidence for an association with mood disorders. After treatment, depression scores may or may not improve to the level of population norms, suggesting that this relationship is more complex than one of mere cause and effect. (+info)Hypersomnia. (3/15)
Hypersomnia, a complaint of excessive daytime sleep or sleepiness, affects 4% to 6% of the population, with an impact on the everyday life of the patient Methodological tools to explore sleep and wakefulness (interview, questionnaires, sleep diary, polysomnography, Multiple Sleep Latency Test, Maintenance of Wakefulness Test) and psychomotor tests (for example, psychomotor vigilance task and Oxford Sleep Resistance or Osler Test) help distinguish between the causes of hypersomnia. In this article, the causes of hypersomnia are detailed following the conventional classification of hypersomnic syndromes: narcolepsy, idiopathic hypersomnia, recurrent hypersomnia, insufficient sleep syndrome, medication- and toxin-dependent sleepiness, hypersomnia associated with psychiatric disorders, hypersomnia associated with neurological disorders, posttraumatic hypersomnia, infection (with a special emphasis on the differences between bacterial and viral diseases compared with parasitic diseases, such as sleeping sickness) and hypersomnia, hypersomnia associated with metabolic or endocrine diseases, breathing-related sleep disorders and sleep apnea syndromes, and periodic limb movements in sleep. (+info)CSF hypocretin-1 levels and clinical profiles in narcolepsy and idiopathic CNS hypersomnia in Norway. (4/15)
OBJECTIVE: To evaluate the relationship between CSF hypocretin-1 levels and clinical profiles in narcolepsy and CNS hypersomnia in Norwegian patients. METHOD: CSF hypocretin-1 was measured by a sensitive radioimmunoassay in 47 patients with narcolepsy with cataplexy, 7 with narcolepsy without cataplexy, 10 with idiopathic CNS hypersomnia, and a control group. RESULTS: Low hypocretin-1 values were found in 72% of the HLA DQB1*0602 positive patients with narcolepsy and cataplexy. Patients with low CSF hypocretin-1 levels reported more extensive muscular involvement during cataplectic attacks than patients with normal levels. Hypnagogic hallucinations and sleep paralysis occurred more frequently in patients with cataplexy than in the other patient groups, but with no correlation to hypocretin-1 levels. CONCLUSION: About three quarters of the HLA DQB1*0602 positive patients with narcolepsy and cataplexy had low CSF hypocretin-1 values, and appear to form a distinct clinical entity. Narcolepsy without cataplexy could not be distinguished from idiopathic CNS hypersomnia by clinical symptoms or biochemical findings. (+info)Idiopathic hypersomnia: a study of 77 cases. (5/15)
STUDY OBJECTIVES: To review the clinical and polysomnographic characteristics of idiopathic hypersomnia as well as the long-term response to treatment. SETTING: The Respiratory Support and Sleep Centre at Papworth Hospital, Cambridge, UK. PATIENTS AND DESIGN: A large database of more than 6000 patients with sleep disorders was reviewed. A retrospective study of the clinical and polysomnographic characteristics of 77 patients with idiopathic hypersomnia was performed. Comparison with a similar group of patients with narcolepsy was performed. The response to drug treatment was assessed in 61 patients over a mean follow-up of 3.8 years. MEASUREMENTS AND RESULTS: Idiopathic hypersomnia was 60% as prevalent as narcolepsy. Comparison with a similar group of patients with narcolepsy showed that those with idiopathic hypersomnia were more likely to have prolonged unrefreshing daytime naps, a positive family history, increased slow-wave sleep, and a longer sleep latency on the Multiple Sleep Latency Test. The results of the Multiple Sleep Latency Test were not helpful in predicting disease severity or treatment response. The clinical features were heterogeneous and of variable severity. The majority of patients with idiopathic hypersomnia had symptoms that remained stable over many years, but 11% had spontaneous remission, which was never seen in narcolepsy. Two thirds of patients with idiopathic hypersomnolence had a sustained improvement in daytime somnolence with medication, although a third needed high doses or combinations of drugs. CONCLUSIONS: Idiopathic hypersomnolence has characteristic clinical and polysomnographic features but the prolonged latency on the Multiple Sleep Latency Test raises doubt about the validity of this test within the current diagnostic criteria. The disease often responds well to treatment and a substantial minority of patients appear to spontaneously improve. (+info)Prevalence of the HLA-DQB1*0602 allele in narcolepsy and idiopathic hypersomnia patients seen at a sleep disorders outpatient unit in Sao Paulo. (6/15)
(+info)Idiopathic hypersomnia with and without long sleep time: a controlled series of 75 patients. (7/15)
OBJECTIVE: To characterize the clinical, psychological, and sleep pattern of idiopathic hypersomnia with and without long sleep time, and provide normative values for 24-hour polysomnography. SETTING: University Hospital. DESIGN: Controlled, prospective cohort. PARTICIPANTS: 75 consecutive patients (aged 34 +/- 12 y) with idiopathic hypersomnia and 30 healthy matched controls. INTERVENTION: Patients and controls underwent during 48 hours a face-to-face interview, questionnaires, human leukocyte antigen genotype, a night polysomnography and multiple sleep latency test (MSLT), followed by 24-h ad libitum sleep monitoring. RESULTS: Hypersomniacs had more fatigue, higher anxiety and depression scores, and more frequent hypnagogic hallucinations (24%), sleep paralysis (28%), sleep drunkenness (36%), and unrefreshing naps (46%) than controls. They were more frequently evening types. DQB1*0602 genotype was similarly found in hypersomniacs (24.2%) and controls (19.2%). Hypersomniacs had more frequent slow wave sleep after 06:00 than controls. During 24-h polysomnography, the 95% confidence interval for total sleep time was 493-558 min in controls, versus 672-718 min in hypersomniacs. There were 40 hypersomniacs with and 35 hypersomniacs without long ( > 600 min) sleep time. The hypersomniacs with long sleep time were younger (29 +/- 10 vs 40 +/- 13 y, P = 0.0002), slimmer (body mass index: 26 +/- 5 vs 23 +/- 4 kg/m2; P = 0.005), and had lower Horne-Ostberg scores and higher sleep efficiencies than those without long sleep time. MSLT latencies were normal (> 8 min) in 71% hypersomniacs with long sleep time. CONCLUSIONS: Hypersomnia, especially with long sleep time, is frequently associated with evening chronotype and young age. It is inadequately diagnosed using MSLT. (+info)Body mass index-independent metabolic alterations in narcolepsy with cataplexy. (8/15)
STUDY OBJECTIVES: To contribute to the anthropometric and metabolic phenotyping of orexin-A-deficient narcoleptic patients, and to explore a possible risk of their developing a metabolic syndrome. DESIGN: We performed a cross-sectional study comparing metabolic alterations in patients with narcolepsy with cataplexy (NC) and patients with idiopathic hypersomnia without long sleep time. SETTING: University hospital. PATIENTS: Fourteen patients with narcolepsy with cataplexy and 14 sex and age-matched patients with idiopathic hypersomnia without long sleep time. INTERVENTIONS: N/A. MEASUREMENTS AND RESULTS: Metabolic parameters were evaluated by measuring body mass index (BMI), waist circumference (also with abdominal computed tomography), blood pressure, and daily calorie intake (3-day diary). Chronotypes were assessed through the morningness-eveningness questionnaire. Lumbar puncture for cerebrospinal fluid orexin-A determination and HLA typing were performed. Patients with narcolepsy with cataplexy (all HLA DQB1*0602 positive and with cerebrospinal fluid orexin-A levels < 110 pg/mL) had a higher BMI and BMI-independent metabolic alterations, namely waist circumference, high-density lipoprotein cholesterol, and glucose/insulin ratio (an insulin resistance index), with respect to patients with idiopathic hypersomnia without long sleep time (cerebrospinal fluid orexin-A levels > 300 pg/mL). Despite lower daily food intake, patients with narcolepsy with cataplexy displayed significant alterations in metabolic parameters resulting in a diagnosis of metabolic syndrome in more than half the cases. CONCLUSIONS: BMI-independent metabolic alterations and the relative hypophagia of patients with narcolepsy with cataplexy, as compared with patients with idiopathic hypersomnia without long sleep time, suggest that orexin-A influences the etiology of this phenotype. Moreover, considering that these dysmetabolic alterations are present from a young age, a careful metabolic follow-up of patients diagnosed with narcolepsy with cataplexy is mandatory. (+info)Disorders of excessive somnolence (DES) are a group of medical conditions characterized by an increased tendency to fall asleep or experience excessive daytime sleepiness (EDS), despite having adequate opportunity and circumstances for sleep. These disorders are typically classified as central disorders of hypersomnolence according to the International Classification of Sleep Disorders (ICSD-3).
The most common DES is narcolepsy, a chronic neurological disorder caused by the brain's inability to regulate sleep-wake cycles normally. Other DES include idiopathic hypersomnia, Kleine-Levin syndrome, and recurrent hypersomnia. These disorders can significantly impact an individual's daily functioning, quality of life, and overall health.
Narcolepsy is further divided into two types: narcolepsy type 1 (NT1) and narcolepsy type 2 (NT2). NT1 is characterized by the presence of cataplexy, a sudden loss of muscle tone triggered by strong emotions, while NT2 does not include cataplexy. Both types of narcolepsy involve excessive daytime sleepiness, sleep paralysis, hypnagogic/hypnopompic hallucinations, and fragmented nighttime sleep.
Idiopathic hypersomnia is a DES without the presence of REM-related symptoms like cataplexy or sleep paralysis. Individuals with idiopathic hypersomnia experience excessive daytime sleepiness and prolonged nighttime sleep, often lasting 10 to 14 hours, but do not feel refreshed upon waking.
Kleine-Levin syndrome is a rare DES characterized by recurrent episodes of excessive sleepiness, often accompanied by cognitive impairment, altered perception, hyperphagia (excessive eating), and hypersexuality during the episodes. These episodes can last days to weeks and typically occur multiple times per year.
Recurrent hypersomnia is another rare DES with recurring episodes of excessive sleepiness lasting for several days, followed by a period of normal or reduced sleepiness. The episodes are not as predictable or consistent as those seen in Kleine-Levin syndrome.
Treatment for DES typically involves pharmacological interventions to manage symptoms and improve daytime alertness. Modafinil, armodafinil, and traditional stimulants like amphetamine salts are commonly used to treat excessive daytime sleepiness. Additionally, antidepressants may be prescribed to manage REM-related symptoms like cataplexy or sleep paralysis. Non-pharmacological interventions, such as scheduled napping and good sleep hygiene practices, can also help improve symptoms.
Idiopathic hypersomnolence is a type of central disorder of hypersomnolence, which is characterized by excessive daytime sleepiness (EDS) that isn't caused by another known medical condition or lifestyle factor. "Idiopathic" means that the cause of the condition is unknown.
In idiopathic hypersomnolence, individuals experience prolonged nighttime sleep and recurrent episodes of daytime sleep that can last for several hours, causing significant impairment in their daily functioning. Despite getting adequate or even prolonged periods of sleep, they continue to feel excessive sleepiness during the day.
Other symptoms associated with idiopathic hypersomnolence may include difficulty waking up from sleep, automatic behavior (performing actions without conscious awareness), cognitive impairment, and mood changes. The exact cause of this condition remains unclear, but it is thought to involve dysfunction in the brain's sleep-wake regulation mechanisms.
Wakefulness is a state of consciousness in which an individual is alert and aware of their surroundings. It is characterized by the ability to perceive, process, and respond to stimuli in a purposeful manner. In a medical context, wakefulness is often assessed using measures such as the electroencephalogram (EEG) to evaluate brain activity patterns associated with consciousness.
Wakefulness is regulated by several interconnected neural networks that promote arousal and attention. These networks include the ascending reticular activating system (ARAS), which consists of a group of neurons located in the brainstem that project to the thalamus and cerebral cortex, as well as other regions involved in regulating arousal and attention, such as the basal forebrain and hypothalamus.
Disorders of wakefulness can result from various underlying conditions, including neurological disorders, sleep disorders, medication side effects, or other medical conditions that affect brain function. Examples of such disorders include narcolepsy, insomnia, hypersomnia, and various forms of encephalopathy or brain injury.
Idiopathic Pulmonary Fibrosis (IPF) is a specific type of chronic, progressive, and irreversible fibrotic lung disease of unknown cause, characterized by scarring (fibrosis) in the lungs that thickens and stiffens the lining of the air sacs (alveoli). This makes it increasingly difficult for the lungs to transfer oxygen into the bloodstream, leading to shortness of breath, cough, decreased exercise tolerance, and, eventually, respiratory failure.
The term "idiopathic" means that the cause of the disease is unknown. The diagnosis of IPF requires a combination of clinical, radiological, and pathological findings, excluding other known causes of pulmonary fibrosis. It primarily affects middle-aged to older adults, with a higher prevalence in men than women.
The progression of IPF varies from person to person, but the prognosis is generally poor, with a median survival time of 3-5 years after diagnosis. Currently, there are two FDA-approved medications for the treatment of IPF (nintedanib and pirfenidone), which can help slow down disease progression but do not cure the condition. Lung transplantation remains an option for select patients with advanced IPF.
Scoliosis is a medical condition characterized by an abnormal lateral curvature of the spine, which most often occurs in the thoracic or lumbar regions. The curvature can be "C" or "S" shaped and may also include rotation of the vertebrae. Mild scoliosis doesn't typically cause problems, but severe cases can interfere with breathing and other bodily functions.
The exact cause of most scoliosis is unknown, but it may be related to genetic factors. It often develops in the pre-teen or teenage years, particularly in girls, and is more commonly found in individuals with certain neuromuscular disorders such as cerebral palsy and muscular dystrophy.
Treatment for scoliosis depends on the severity of the curve, its location, and the age and expected growth of the individual. Mild cases may only require regular monitoring to ensure the curve doesn't worsen. More severe cases may require bracing or surgery to correct the curvature and prevent it from getting worse.
Juvenile arthritis (JA) is a term used to describe a group of autoimmune and inflammatory disorders that can affect children aged 16 or younger. In JA, the immune system mistakenly attacks the body's own tissues, causing inflammation in the joints, which can lead to pain, swelling, stiffness, and damage over time.
There are several types of juvenile arthritis, including:
1. Juvenile Idiopathic Arthritis (JIA): This is the most common form of JA, and it includes several subtypes that are classified based on the number of joints affected and the presence or absence of certain symptoms.
2. Juvenile Systemic Lupus Erythematosus (JSLE): This is a type of lupus that affects children, and it can cause inflammation in various parts of the body, including the joints, skin, kidneys, and lungs.
3. Juvenile Dermatomyositis (JDM): This is a rare autoimmune disorder that causes inflammation of the blood vessels, leading to muscle weakness, skin rashes, and joint pain.
4. Juvenile Scleroderma: This is a group of disorders that cause hardening and tightening of the skin and connective tissues, which can also affect the joints.
5. Juvenile Psoriatic Arthritis (JPsA): This is a type of arthritis that affects children who have psoriasis, a chronic skin condition. JPsA can cause inflammation in the joints and skin.
The causes of juvenile arthritis are not fully understood, but it is believed to involve a combination of genetic and environmental factors. There is no cure for JA, but treatments such as medication, physical therapy, and lifestyle changes can help manage the symptoms and prevent long-term complications.
Idiopathic Thrombocytopenic Purpura (ITP) is a medical condition characterized by a low platelet count (thrombocytopenia) in the blood without an identifiable cause. Platelets are small blood cells that help your body form clots to stop bleeding. When you don't have enough platelets, you may bleed excessively or spontaneously, causing purpura, which refers to purple-colored spots on the skin that result from bleeding under the skin.
In ITP, the immune system mistakenly attacks and destroys platelets, leading to their decreased levels in the blood. This condition can occur at any age but is more common in children following a viral infection, and in adults after the age of 30-40 years. Symptoms may include easy or excessive bruising, prolonged bleeding from cuts, spontaneous bleeding from the gums or nose, blood blisters, and small red or purple spots on the skin (petechiae).
Depending on the severity of thrombocytopenia and the presence of bleeding symptoms, ITP treatment may include observation, corticosteroids, intravenous immunoglobulin (IVIG), or other medications that modify the immune system's response. In severe cases or when other treatments are ineffective, surgical removal of the spleen (splenectomy) might be considered.
Idiopathic interstitial pneumonias (IIPs) are a group of rare lung diseases with no known cause, characterized by inflammation and scarring (fibrosis) of the lung tissue. The term "idiopathic" means that the cause is unknown, and "interstitial" refers to the spaces between the air sacs in the lungs where the inflammation and scarring occur.
IIPs are classified into several subtypes based on their clinical, radiological, and pathological features. These include:
1. Idiopathic Pulmonary Fibrosis (IPF): This is the most common and aggressive form of IIP, characterized by progressive scarring of the lung tissue, which leads to difficulty breathing and decreased lung function over time.
2. Nonspecific Interstitial Pneumonia (NSIP): This subtype is characterized by varying degrees of inflammation and fibrosis in the lung tissue. NSIP can be idiopathic or associated with connective tissue diseases.
3. Respiratory Bronchiolitis-Interstitial Lung Disease (RB-ILD): This subtype primarily affects smokers and is characterized by inflammation of the small airways and surrounding lung tissue.
4. Desquamative Interstitial Pneumonia (DIP): This subtype is also more common in smokers and is characterized by accumulation of pigmented macrophages in the lung tissue.
5. Cryptogenic Organizing Pneumonia (COP): This subtype is characterized by the formation of fibrous masses in the small airways and alveoli, leading to cough and shortness of breath.
6. Acute Interstitial Pneumonia (AIP)/Acute Respiratory Distress Syndrome (ARDS): This subtype is a severe form of IIP that can rapidly progress to respiratory failure and requires immediate medical attention.
The diagnosis of IIPs typically involves a combination of clinical evaluation, imaging studies, and lung biopsy. Treatment options may include corticosteroids, immunosuppressive medications, and oxygen therapy, depending on the severity and subtype of the disease.
Pulmonary fibrosis is a specific type of lung disease that results from the thickening and scarring of the lung tissues, particularly those in the alveoli (air sacs) and interstitium (the space around the air sacs). This scarring makes it harder for the lungs to properly expand and transfer oxygen into the bloodstream, leading to symptoms such as shortness of breath, coughing, fatigue, and eventually respiratory failure. The exact cause of pulmonary fibrosis can vary, with some cases being idiopathic (without a known cause) or related to environmental factors, medications, medical conditions, or genetic predisposition.
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Disorders20
- The diagnosis of hypersomnolence is made after excluding neurologic, pulmonary, and psychiatric disorders known to cause excessive sleepiness. (medscape.com)
- The American Sleep Disorders Association's International Classification of Sleep Disorders, Third Edition (ICSD-3) has redefined the criteria of idiopathic hypersomnia to include varied presentations under the same diagnosis as opposed to distinguishing two separate forms (with and without long sleep time) that were characteristic of the ICSD-2 definition. (medscape.com)
- ICSD-3 classifies "Central disorders of hypersomolence" into 'primary' and 'secondary' groupings, with narcolepsy type 1 (NT1), narcolepsy type 2 (NT2), idiopathic hypersomnia (IH), and Kline-Levin syndrome (KLS) making up the primary disorders. (medscape.com)
- Dr. Mark Wu specializes in sleep disorders and has a particular interest in narcolepsy, idiopathic hypersomnolence. (hopkinsmedicine.org)
- Other more common disorders must be ruled out before idiopathic hypersomnia diagnosis. (blueskyneurology.com)
- This article focuses on the clinical presentation, pathophysiology, diagnosis, differential diagnosis, and management of narcolepsy type 1 and narcolepsy type 2, idiopathic hypersomnia, Kleine-Levin syndrome, and other central disorders of hypersomnolence, as defined in the International Classification of Sleep Disorders, Third Edition (ICSD-3). (flutrackers.com)
- In ICSD-3, the names of some central disorders of hypersomnolence have been changed: narcolepsy with cataplexy and narcolepsy without cataplexy have been renamed narcolepsy type 1 and narcolepsy type 2, respectively. (flutrackers.com)
- While the multiple sleep latency test (MSLT) ― an objective measure of daytime sleep propensity ― is the gold standard for diagnosing narcolepsy type 1, its use for assessing noncataplectic central disorders of hypersomnolence is not established. (clevelandclinic.org)
- We see patients with severe hypersomnolence who have undergone multiple fruitless MSLTs and have been told their problem is psychological or due to medications or another medical disorder," says Nancy Foldvary-Schaefer, DO, MS , Director of the Sleep Disorders Center at Cleveland Clinic. (clevelandclinic.org)
- During the most recent evaluation, actigraphy testing indicated an average sleep duration of 8.7 hours and appropriate circadian rhythm, arguing against delayed sleep phase disorder, a circadian rhythm disorder that can be confused with CNS disorders of hypersomnolence. (clevelandclinic.org)
- an overnight sleep test), to help identify and characterize central disorders of hypersomnolence . (hypersomniafoundation.org)
- Central Disorders of Hypersomnolence encompass conditions including Narcolepsy and Idiopathic Hypersomnia - at here at the best Adelaide Sleep clinic in Adelaide, we manage all these conditions. (adelaidesleep.com.au)
- The International Classification for Sleep Disorders- third edition (ICSD-3) has classified central disorders of hypersomnolence as, Narcolepsy type 1 and type 2, idiopathic hypersomnia (IH), Kleine-Levin syndrome (KLS), hypersomnia due to a medical or neurologic disorder, hypersomnia due to medication or substance, hypersomnia associated with psychiatric disorders, and insufficient sleep syndrome. (eurekaselect.com)
- Broad scientific consensus has called for new biomarkers for hypersomnolence disorders, which is essential to improve their diagnosis and treatment. (wakeupnarcolepsy.org)
- The AASM Foundation and Wake Up Narcolepsy funding is enabling this research to translate novel MRI-based tools to understand the neural basis of hypersomnolence disorders. (wakeupnarcolepsy.org)
- Disorders characterized by hypersomnolence during normal waking hours that may impair cognitive functioning. (online-medical-dictionary.org)
- Sleep Consortium and RARE-X, the Global Genes research program and patient-owned data collection platform, are collaborating to launch the Sleep Data Collection Initiative to accelerate the development of treatments for central disorders of hypersomnolence and related conditions. (legalvenoms.com)
- This platform will enable individuals with primary central disorders of hypersomnolence, including narcolepsy type 1, narcolepsy type 2, idiopathic hypersomnia, and Kleine-Levin Syndrome, to directly share their data with researchers and scale up treatment development opportunities. (legalvenoms.com)
- In 2022, there were four unique requests for applications (RFAs): Treatment of Central Disorders of Hypersomnolence, AASM Strategic Plan Goals, Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnea, and Hypopnea Scoring Criteria. (aasm.org)
- When a patient presents with hypersomnia in the absence of these disorders and with no other known cause it's called idiopathic hypersomnia. (nestmaven.com)
Excessive10
- The main symptom of Idiopathic Hypersomnia (IH) is excessive sleep and extreme daytime sleepiness. (hypersomnolenceaustralia.org.au)
- Modafinil, a 1:1 racemic mixture of (R)-(-) and (S)-(-) enantiomers, and armodafinil, the isolated (R)-(-) enantiomer, have proved clinically useful in the treatment of narcolepsy and other causes of excessive daytime sleepiness, such as idiopathic hypersomnolence. (medscape.com)
- Like narcolepsy, hypersomnolence (also known as idiopathic hypersomnia ) is a condition characterized by excessive sleepiness. (blueskyneurology.com)
- Idiopathic hypersomnia is an uncommon disorder causing excessive sleepiness during the day even after a good night's sleep. (blueskyneurology.com)
- Most central origin of hypersomnolence patients exhibit excessive daytime sleepiness, which can be a result of something like Narcolepsy. (bangkokinternationalhospital.com)
- Idiopathic hypersomnolence is a complex, debilitating, and uncommon sleep disorder manifested mainly by chronic excessive daytime sleepiness (EDS). (bvsalud.org)
- This patient, who presented with worsening excessive daytime sleepiness, sleep drunkenness, and sleep disturbances, was diagnosed with idiopathic hypersomnia by overnight polysomnography (PSG) and a multiple sleep latency test (MSLT). (bvsalud.org)
- If excessive daytime sleepiness persists for more than three months, the individual may have a psychiatric disorder called hypersomnolence disorder. (thesbb.com)
- Hypersomnia (also known as hypersomnolence) directly translates to "excessive sleepiness. (nestmaven.com)
- Hypersomnolence or excessive sleepiness is the tendency to fall asleep during the day when the situation is not conducive to it and requires, instead, the maintenance of wakefulness. (hypersomnie.fr)
Disorder10
- Primary hypersomnia, idiopathic hypersomnia (ICSD-3), and hypersomnolence disorder ( DSM-5 ) refer to a central disorder of hypersomnia. (medscape.com)
- Similarities from all, however, include daily periods of irresistible sleep or daytime lapses into sleep, absence of cataplexy, and that the hypersomnolence is not better accounted for by either insufficient sleep or by another sleep disorder. (medscape.com)
- These patients do not have a positive family or viral infection history, and the cause of the disorder truly is idiopathic. (medscape.com)
- The hypersomnolence is not better explained by and does not occur exclusively during the course of another sleep disorder (eg, narcolepsy, breathing-related sleep disorder, circadian rhythm sleep-wake disorder, or a parasomnia). (medscape.com)
- A coexisting mental disorder or medical condition does not adequately explain the hypersomnolence. (medscape.com)
- Some 30% to 40% of idiopathic hypersomnia sufferers have normal MSLT results, which often leads to them being told their sleepiness is not due to a sleep disorder. (clevelandclinic.org)
- Hypersomnia is determined to be idiopathic if it cannot be associated with a medical condition, medications, insufficient sleep or a psychiatric disorder and if narcolepsy has been excluded. (clevelandclinic.org)
- 4.2 Rapid Eye Movement Parasomnia such as REM Behavior Disorder which is often found among patients with synucleinopathic disorder - for example, multiple system atrophy, dementia with lewy bodies, and idiopathic Parkinson disease. (bangkokinternationalhospital.com)
- Zhou's project will address social relationship health challenges in children with central disorder of hypersomnolence, which is a domain not effectively managed by medications alone. (aasm.org)
- While it's more common than primary or idiopathic cases, it remains a rare disorder affecting only 5% of the population. (nestmaven.com)
Diagnosis2
- Alternatives to the multiple sleep latency test are needed for accurate diagnosis of idiopathic hypersomnia. (clevelandclinic.org)
- Patients with idiopathic RBD have been known to have a siginificantly increased risk of developing one of the α-synucleiopathies later in life, therefore the diagnosis of RBD is very important and must be dealt with carefully. (go.jp)
20171
- The founder of Hypersomnolence Australia and Idiopathic Hypersomnia Awareness Week, Michelle Chadwick was interviewed live on ABC Radio on 5th September during the 2017 Idiopathic Hypersomnia Awareness Week. (hypersomnolenceaustralia.org.au)
Sleepiness during1
- Hypersomnolence refers to ongoing feelings of sleepiness during the day even though you are otherwise perfectly healthy and have had adequate sleep at night. (soundsleephealth.com)
Patients4
- For idiopathic hypersomnia, patients typically experience sleep inertia and are unrefreshed after napping. (wikipedia.org)
- [ 84 ] Another study from a single sleep center reported subjective improvement in EDS in 53 idiopathic hypersomnia (IH) patients that were refractory to traditional psychostimulants, who were given clarithromycin, an antibiotic that has GABA A inhibitory properties. (medscape.com)
- Dr. Foldvary-Schaefer has been speaking at medical meetings to raise awareness of the shortcomings of the MSLT for idiopathic hypersomnia and to make the case for wider U.S. acceptance of alternate diagnostic modalities, including an extended polysomnography protocol, for select patients. (clevelandclinic.org)
- Our aim is to report the clinical profile and outcome of patients diagnosed with idiopathic hypersomnia (IH). (bvsalud.org)
MSLT1
- Her time to fall asleep on the MSLT ranged from 13 to 17 minutes ― significantly longer than the 8-minute or less criterion for idiopathic hypersomnia ― although she reported that the testing environment made her anxious. (clevelandclinic.org)
Michelle Chadwick1
- Michelle Chadwick is the founder of Hypersomnolence Australia (HA), the world's first not for profit organisation to be dedicated to. (hypersomnolenceaustralia.org.au)
Daytime2
- Therapy for idiopathic hypersomnolence involves maintaining the patient on daytime stimulants. (medscape.com)
- Unlike narcolepsy, idiopathic hypersomnia does not have rapid occurrence of dream sleep during daytime napping. (blueskyneurology.com)
Primary1
- Types of primary hypersomnia include narcolepsy type 1, narcolepsy type 2, Kleine-Levin syndrome, and idiopathic hypersomnia. (mattressadvisor.com)
Severe1
- Severe idiopathic hypersomnolence is a disabling problem that often leads to permanent unemployment and responds poorly to medical treatment. (medscape.com)
Symptoms2
- There are similar symptoms of both ADD and idiopathic hypersomnia. (hypersomniafoundation.org)
- The women who received CPAP experienced significantly better outcomes with respect to each of the five domains that compose the QSQ: hypersomnolence, diurnal symptoms, nocturnal symptoms, emotions, and social interactions. (medscape.com)
Wakefulness1
- People with idiopathic hypersomnia have altered hormones responsible for promoting wakefulness. (thesbb.com)
Patient1
- This paper reports on the treatment of a patient with idiopathic hypersomnia who was treated with low sodium oxybate (LXB) due to a lack of response to the first-line drug modafinil. (bvsalud.org)
Protocol1
- At the patient's current presentation at Cleveland Clinic, it was recommended that she undergo a 32-hour PSG bed-rest protocol to further evaluate for idiopathic hypersomnia. (clevelandclinic.org)
Sodium2
- The FDA approved calcium/magnesium/potassium/sodium oxybates (Xywav) for adults with idiopathic hypersomnia in August 2021. (medscape.com)
- In 2021, lower-sodium oxybate became the first FDA-approved treatment for idiopathic hypersomnia. (clevelandclinic.org)
Cognitive1
- The hypersomnolence is accompanied by significant distress or impairment in cognitive, social, occupational, or other important areas of functioning. (medscape.com)
Phase1
- Phase 1 will develop a website to help families and children with narcolepsy and/or idiopathic hypersomnia (IH) understand social health challenges, and Phase 2 will consist of a study to inform a randomized controlled trial which tests the impacts of their website. (aasm.org)
Understand1
- Know someone that doesn't understand what Idiopathic Hypersomnia is and what it is like to live with it? (hypersomnolenceaustralia.org.au)
NEWS1
- Catch up on Idiopathic Hypersomnia & Narcolepsy NEWS - includes all the latest in AUSTRALIAN RESEARCH NEWS! (hypersomnolenceaustralia.org.au)
Signs1
- Aside from feeling sleepy, here are some other signs you may have hypersomnolence. (soundsleephealth.com)
Made1
- I decided to live at home due to Covid-19, which has actually made it far easier to manage idiopathic hypersomnia. (project-sleep.com)
Long1
- Differentially methylated positions associated with hypersomnolence, idiopathic hypersomnia, and long sleep time are provided herein along with biomarker panels thereof and methods of diagnosing and p. (warf.org)
Doctor1
- Ask the Doctor: Is My Inability to Concentrate Due to Idiopathic Hypersomnia (IH) or ADHD? (hypersomniafoundation.org)
Domain1
- There was a significant positive correlation between hours of CPAP and improvement in each of the QSQ domains except the hypersomnolence domain, which nevertheless showed a trend in the direction of improvement. (medscape.com)
Person2
- Hypersomnolence in an elderly person should raise the alarm! (hypersomnie.fr)
- When hypersomnolence affects an elderly person who used to sleep normally, vigilance is required. (hypersomnie.fr)
Months1
- The hypersomnolence occurs at least three times per week for at least 3 months. (medscape.com)
Hours1
- I am blessed to have been given classes hours apart from one another, so that I can take a nap in between them, which is incredibly helpful for my idiopathic hypersomnolence. (project-sleep.com)
Health1
- Note: If you have trouble staying awake during the day but you have other health issues, untreated sleep problems, or use certain medications, then your sleepiness has different origins and is, therefore, not hypersomnolence, in and of itself. (soundsleephealth.com)