Hypersomnia

Hypersomnia

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  HYPERSOMNIA Dr Vijay Bhatia
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  Hypersomnia ◦ Is acondition of either excessive daytime sleepiness and sleep attacks (not accounted for inadequate of sleep) or prolonged transition to the fully aroused state upon awakening. ◦ In the absence of an organic factor for the occurrence of hypersomnia, this condition is usually associated with mental disorders.
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  Criteria A ◦ Theindividual complains of excessive daytime sleepiness or sleep attacks, or of prolonged transition to the fully aroused state upon awakening (Sleep drunkenness), which is not accounted for by an inadequate amount of sleep.
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  Criteria B ◦ Thesleep disturbance occurs nearly everyday for at least 1 month or recurrently for shorter periods of time, and causes either marked distress or interference with personal functioning in daily living.
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  Criteria C ◦ Thereare no auxiliary symptoms of Narcolepsy (Cataplexy, sleep paralysis, hypnagogic hallucinations) and no clinical evidence for sleep apnoea (nocturnal breath cessation, typical intermittent snoring sounds etc.).
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  Narcolepsy Symptoms ◦ Excessivedaytime sleepiness - People with the sickness sleep off without any sign at anyplace and whenever ◦ Diminished alertness for the duration of the day ◦ Hard to focus and complete work ◦ Sudden loss of muscle tone called as cataplexy ◦ Sleep paralysis - Experience an inability to move or talk while falling asleep or after waking ◦ Hallucinations -Semi-alert, start envisioning and experience the fantasies as reality
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  Criteria D ◦ Thereis no known causative organic factor, such as neurological or other medical condition, psychoactive substance use disorder or a medication. ◦ Neurological condition such as restless leg syndrome. ◦ Can happen in depression
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