Assessment and management of excessive daytime sleepiness

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Assessment and management of excessive daytime sleepiness.

The obstructive sleep apnoea/hypopnoea syndrome (OSAHS) is much the commonest ‘medical’ cause of sleepiness (Table 1), occurring in 1–4% of the middle-aged. OSAHS is the combination of sleepiness or two other major symptoms, such as unrefreshing sleep, difficulty concentrating and nocturnal choking, with five or more apnoeas plus hypopnoeas per hour slept (‘apnoea’ is defined as a 10-sec pause ...

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Excessive daytime sleepiness.

Excessive daytime sleepiness is one of the most common sleep-related patient symptoms, and it affects an estimated 20 percent of the population. Persons with excessive daytime sleepiness are at risk of motor vehicle and work-related incidents, and have poorer health than comparable adults. The most common causes of excessive daytime sleepiness are sleep deprivation, obstructive sleep apnea, and...

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Pharmacotherapy for excessive daytime sleepiness.

Excessive daytime sleepiness (EDS) has recognized detrimental consequences such as road traffic accidents, impaired psychological functioning and reduced work performance. EDS can result from multiple causes such as sleep deprivation, sleep fragmentation, neurological, psychiatric and circadian rhythm disorders. Treating the underlying cause of EDS remains the mainstay of therapy but in those w...

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Current evaluation and management of excessive daytime sleepiness.

Excessive daytime sleepiness has significant impact on neurological function, and has societal implications. Sleepiness is a common feature of many neurological conditions. A careful history will often reveal one of many common causes of excessive daytime sleepiness and suggest appropriate treatment. Neurophysiological testing can provide objective assessment. Behavioural management is an impor...

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Longitudinal assessment of excessive daytime sleepiness in early Parkinson's disease.

BACKGROUND Excessive daytime sleepiness (EDS) is common and disabling in Parkinson's disease (PD). Predictors of EDS are unclear, and data on biological correlates of EDS in PD are limited. We investigated clinical, imaging and biological variables associated with longitudinal changes in sleepiness in early PD. METHODS The Parkinson's Progression Markers Initiative is a prospective cohort stu...

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ژورنال

عنوان ژورنال: Clinical Medicine

سال: 2005

ISSN: 1470-2118,1473-4893

DOI: 10.7861/clinmedicine.5-2-105