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Erschienen in: Drugs 24/2003

01.12.2003 | Therapy in Practice

Excessive Daytime Sleepiness and Sleep Disturbances in Patients with Neurological Diseases

Epidemiology and Management

verfasst von: Dr Svenja Happe

Erschienen in: Drugs | Ausgabe 24/2003

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Abstract

Up to 12% of the general population experience excessive daytime sleepiness (EDS), with increasing prevalence in the elderly. EDS may lead to cognitive impairment, resulting in inattentiveness, poor memory, mood disorders and an increased risk of accidents. As a result, quality of life is reduced in most patients with EDS as well as in their caregiving spouses. There are a variety of causes leading to EDS, including CNS pathology, neurological dysfunction, associated sleep disorders with insufficient or fragmented sleep, and drug therapy. Since EDS accompanies many neurological disorders, such as neurodegenerative and neuromuscular diseases, neurologists should be familiar with the diagnosis, its major causes and with treatment options.
The main focus of this article is on movement disorders, neuromuscular diseases, multiple sclerosis, dementia, cerebrovascular diseases, head and brain trauma, pain and epilepsy. General managment strategies for EDS in all these neurological diseases include sleep hygiene aspects such as extensions of noctural time in bed and frequent naps during the day. Pharmacological treatment is generally achieved with stimulants such as amphetamine, methylphenidate and pemoline, or newer compounds such as modafinil.
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Metadaten
Titel
Excessive Daytime Sleepiness and Sleep Disturbances in Patients with Neurological Diseases
Epidemiology and Management
verfasst von
Dr Svenja Happe
Publikationsdatum
01.12.2003
Verlag
Springer International Publishing
Erschienen in
Drugs / Ausgabe 24/2003
Print ISSN: 0012-6667
Elektronische ISSN: 1179-1950
DOI
https://doi.org/10.2165/00003495-200363240-00003

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Acknowledgments

Acknowledgement