A Practical Approach to Excessive Daytime Sleepiness: A Focused Review

Excessive daytime sleepiness (EDS) is a common problem that is important to recognize and address. Initial steps in management are generally straightforward and only the most advanced cases would require referral to a subspecialist. Of particular concern is that of driving safety. There is a broad d...

Full description

Saved in:
Bibliographic Details
Main Author: Brian J. Murray
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/2016/4215938
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832558494101798912
author Brian J. Murray
author_facet Brian J. Murray
author_sort Brian J. Murray
collection DOAJ
description Excessive daytime sleepiness (EDS) is a common problem that is important to recognize and address. Initial steps in management are generally straightforward and only the most advanced cases would require referral to a subspecialist. Of particular concern is that of driving safety. There is a broad differential diagnosis for conditions contributing to EDS but a few common conditions account for the majority of clinical presentations. Subjective self-reporting will often lead to identification of potential problems, but this is often unreliable. Traditional neurophysiologic tests can help in objectively quantifying symptoms but current tests are not always practical clinically and may have little validation in real world situations. There are many treatment options that should generally be able to sufficiently manage most patients presenting with hypersomnolence. This review provides a practical clinical approach to the problem based on current guidelines.
format Article
id doaj-art-fd2b1133973e4df6a040f8e85f195a7c
institution Kabale University
issn 1198-2241
1916-7245
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Canadian Respiratory Journal
spelling doaj-art-fd2b1133973e4df6a040f8e85f195a7c2025-02-03T01:32:22ZengWileyCanadian Respiratory Journal1198-22411916-72452016-01-01201610.1155/2016/42159384215938A Practical Approach to Excessive Daytime Sleepiness: A Focused ReviewBrian J. Murray0Division of Neurology, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, M4N 3M5, CanadaExcessive daytime sleepiness (EDS) is a common problem that is important to recognize and address. Initial steps in management are generally straightforward and only the most advanced cases would require referral to a subspecialist. Of particular concern is that of driving safety. There is a broad differential diagnosis for conditions contributing to EDS but a few common conditions account for the majority of clinical presentations. Subjective self-reporting will often lead to identification of potential problems, but this is often unreliable. Traditional neurophysiologic tests can help in objectively quantifying symptoms but current tests are not always practical clinically and may have little validation in real world situations. There are many treatment options that should generally be able to sufficiently manage most patients presenting with hypersomnolence. This review provides a practical clinical approach to the problem based on current guidelines.http://dx.doi.org/10.1155/2016/4215938
spellingShingle Brian J. Murray
A Practical Approach to Excessive Daytime Sleepiness: A Focused Review
Canadian Respiratory Journal
title A Practical Approach to Excessive Daytime Sleepiness: A Focused Review
title_full A Practical Approach to Excessive Daytime Sleepiness: A Focused Review
title_fullStr A Practical Approach to Excessive Daytime Sleepiness: A Focused Review
title_full_unstemmed A Practical Approach to Excessive Daytime Sleepiness: A Focused Review
title_short A Practical Approach to Excessive Daytime Sleepiness: A Focused Review
title_sort practical approach to excessive daytime sleepiness a focused review
url http://dx.doi.org/10.1155/2016/4215938
work_keys_str_mv AT brianjmurray apracticalapproachtoexcessivedaytimesleepinessafocusedreview
AT brianjmurray practicalapproachtoexcessivedaytimesleepinessafocusedreview