2011
DOI: 10.7861/clinmedicine.11-3-282
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Narcolepsy, idiopathic hypersomnolence and related conditions

Abstract: Narcolepsy is under-recognised and should be considered in cases of unexplained daytime sleepiness or collapse Narcolepsy has significant adverse effects on quality of life and socioeconomic impacts Accurate diagnosis requires careful consideration of clinical and electrophysiological features Effective drug treatments are available Exclusion of classical narcolepsy should prompt the consideration of monosymptomatic or secondary narcolepsy, and idiopathic hypersomnolence because treatment can still be effectiv… Show more

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Cited by 7 publications
(4 citation statements)
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“…Cataplexy is rarely observed in the clinic, but when it occurs, clinicians should test deep tendon reflexes as their transient absence is highly specific for the disorder. 45,46 In patients with suspected central disorders of hypersomnolence, a neurological examination should be performed to assess for the presence of a neurological disorder affecting the brainstem, thalamus, or hypothalamus.…”
Section: Physical Examinationmentioning
confidence: 99%
“…Cataplexy is rarely observed in the clinic, but when it occurs, clinicians should test deep tendon reflexes as their transient absence is highly specific for the disorder. 45,46 In patients with suspected central disorders of hypersomnolence, a neurological examination should be performed to assess for the presence of a neurological disorder affecting the brainstem, thalamus, or hypothalamus.…”
Section: Physical Examinationmentioning
confidence: 99%
“…Optimal sleep hygiene for persons with narcolepsy can include sufficient hours of nighttime sleep, consistent sleepwake habits and patterns, and scheduled brief daytime naps [28][29][30] . In addition, alcohol, caffeine, tobacco, and heavy meals should be avoided several hours before bedtime 7,30 .…”
Section: Sleep Hygienementioning
confidence: 99%
“…Optimal sleep hygiene for persons with narcolepsy can include sufficient hours of nighttime sleep, consistent sleepwake habits and patterns, and scheduled brief daytime naps [28][29][30] . In addition, alcohol, caffeine, tobacco, and heavy meals should be avoided several hours before bedtime 7,30 . An environment that is conducive to sleep (e.g., free of loud noise or harsh light) can also make a significant impact on sleep quality.…”
Section: Sleep Hygienementioning
confidence: 99%
“…23,24 Central hypersomnia is characterized by diffi culty performing everyday tasks and diffi culty with marital and other relationships. 5,[10][11][12][13][14][15][16][17][23][24][25][26][27][28] Within the health and wellness domain, central hypersomnia is associated with reduced personal mental and physical health, with adults with central hypersomnia reporting elevated levels of depression, sleepiness, weight gain within proximity of onset of symptoms, higher rates of obesity, and higher risk of injury. 20,21,23 Adults with central hypersomnia also report reduced participation in activities.…”
Section: S C I E N T I F I C I N V E S T I G At I O N Smentioning
confidence: 99%