A comparison of idiopathic hypersomnia and narcolepsy-cataplexy using self report measures and sleep diary data

被引:32
作者
Bruck, D [1 ]
Parkes, JD [1 ]
机构
[1] INST PSYCHIAT, DEPT NEUROL, LONDON SE5 8A, ENGLAND
关键词
idiopathic hypersomnia; narcolepsy; excessive daytime sleepiness;
D O I
10.1136/jnnp.60.5.576
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Eighteen patients with idiopathic hypersomnia (IH) were compared with 50 patients with the narcoleptic syndrome of cataplexy and daytime sleepiness (NLS) using self report questionnaires and a diary of sleep/wake patterns. The IH group reported more consolidated nocturnal sleep, a lower propensity to nap, greater refreshment after naps, and a greater improvement in excessive daytime sleepiness since onset than the NLS group. In IH, the onset of excessive daytime sleepiness was predominantly associated with familial inheritance or a viral illness. Two variables-number of reported awakenings during nocturnal sleep and the reported change in sleepiness since onset-provided maximum discrimination between the IH and NLS groups. Confusional arousals, extended nap or nocturnal sleep, autonomic nervous system dysfunction, low ratings of medication effectiveness, or side effects of medication were not associated differentially with either IH or NLS.
引用
收藏
页码:576 / 578
页数:3
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