Primary Hypersomnia Questions & Answers

Updated: Sep 05, 2018
  • Author: Adrian Preda, MD; Chief Editor: Ana Hategan, MD, FRCPC  more...
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Questions & Answers

Overview

What is the difference between primary hypersomnia and narcolepsy?

What are the subgroups of idiopathic CNS hypersomnia?

What are the DSM-5 diagnostic criteria for hypersomnolence disorder?

What are the ASDA diagnostic criteria for idiopathic hypersomnia?

How does the ICSD-3 classify central disorders of hypersomnolence?

What is Kleine-Levin syndrome (KLS)?

What are the subtypes of Kleine-Levin syndrome (KLS)?

What causes primary hypersomnia?

What is the prevalence of primary hypersomnia?

What are the sexual predilections of primary hypersomnia?

At what age is primary hypersomnia usually diagnosed?

What is the prognosis of primary hypersomnia?

What is included in patient education about primary hypersomnia?

Presentation

What are the ICSD-3 diagnostic criteria for idiopathic hypersomnia?

Which clinical history findings are characteristic of primary hypersomnia?

Which physical findings are characteristic of primary hypersomnia?

Which mental status exam (MSE) findings are characteristic of primary hypersomnia?

Which neurologic exam findings are characteristic of Kleine-Levin syndrome (KLS)?

DDX

What should be considered prior to diagnosing primary hypersomnia?

How is primary hypersomnia differentiated from behaviorally induced insufficient sleep syndrome (BIISS)?

How is primary hypersomnia differentiated from normal sleep variation?

How is primary hypersomnia differentiated from chronic insufficient sleep?

How is primary hypersomnia differentiated from substance-induced sleep disorder, hypersomnia type?

How is primary hypersomnia differentiated from upper airway resistance syndrome (breathing-related sleep disorder)?

How is primary hypersomnia differentiated from posttraumatic hypersomnia?

How is primary hypersomnia differentiated from other neurologic disorders?

How is primary hypersomnia differentiated from hypersomnia due to other general medical conditions?

How is primary hypersomnia differentiated from a major depressive disorder?

How is primary hypersomnia differentiated from narcolepsy?

How is primary hypersomnia differentiated from circadian rhythm sleep disorders?

How is primary hypersomnia differentiated from dysthymia?

How is primary hypersomnia differentiated from chronic fatigue syndrome?

What are the differential diagnoses for Primary Hypersomnia?

Workup

How is primary hypersomnia diagnosed?

What is the role of PSG and MSLT in the workup of primary hypersomnia?

What is the role of electroencephalography in the workup of primary hypersomnia?

Treatment

How is primary hypersomnia treated?

Which specialist consultations are beneficial to patients with primary hypersomnia?

Which activity modifications should be taken by patients with primary hypersomnia?

Which medications are used in the treatment of primary hypersomnia?

What is the role of modafinil and armodafinil in the treatment of primary hypersomnia?

What are the physician's legal responsibilities to report patients with hypersomnia?

Medications

What is the role of medications in the treatment of primary hypersomnia?

Which medications in the drug class Stimulants are used in the treatment of Primary Hypersomnia?