Sleepiness

Jeffrey M. Ellenbogen

Research output: Contribution to journalArticle

Abstract

Sleep medicine can be a particularly rewarding clinical area for neurologists. After all, the driving organ of sleep is the brain. Many of the sleep disorders are primary brain disorders, whereas other sleep disorders (and their medications) influence brain function. But without an organized approach, even the engaged and motivated neurologist can easily become frustrated when dealing with patients whose concerns center on an undesirable degree of sleepiness. Lost in the thicket of information provided during the patient-doctor encounter, many physicians are unable to direct the history toward particular diagnostic hypotheses. So, rather than provide an exhaustive and disorganized set of details about sleep medicine, the author instead shares pearls of sleep medicine in the context of an overall framework, with the goal to foster targeted history-taking for the successful diagnosis of a patient struggling with maintaining wakefulness. The topic of excessive sleepiness will be covered because it is so common and because its mastery is fundamental to approaching most patients with sleep disorders. Common and important pitfalls regarding the topic of sleepiness - and how to avoid them - will be discussed. Misdiagnoses and mismanagement are easy to avoid if this entire framework is kept in mind.

LanguageEnglish (US)
Pages449-455
Number of pages7
JournalSeminars in Neurology
Volume36
Issue number5
DOIs
StatePublished - Oct 1 2016

Fingerprint

Sleep
Medicine
History
Wakefulness
Brain
Brain Diseases
Diagnostic Errors
Physicians
Sleep Wake Disorders
Neurologists

Keywords

  • drowsy
  • fatigue
  • narcolepsy
  • sleep
  • sleepiness

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

Cite this

Ellenbogen, J. M. (2016). Sleepiness. Seminars in Neurology, 36(5), 449-455. DOI: 10.1055/s-0036-1586264

Sleepiness. / Ellenbogen, Jeffrey M.

In: Seminars in Neurology, Vol. 36, No. 5, 01.10.2016, p. 449-455.

Research output: Contribution to journalArticle

Ellenbogen, JM 2016, 'Sleepiness' Seminars in Neurology, vol 36, no. 5, pp. 449-455. DOI: 10.1055/s-0036-1586264
Ellenbogen JM. Sleepiness. Seminars in Neurology. 2016 Oct 1;36(5):449-455. Available from, DOI: 10.1055/s-0036-1586264
Ellenbogen, Jeffrey M./ Sleepiness. In: Seminars in Neurology. 2016 ; Vol. 36, No. 5. pp. 449-455
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