Presentation
We report a patient with polysomnography findings related to hypersomnia, as a primary presenting symptom, who was shown to have stereotypical gelastic seizures. [ncbi.nlm.nih.gov]
Her condition progressed and at the time of presentation she was able to sleep for extended periods of time (up to two to three days at a stretch) and still be hypersomnolent in the day. [annalsofian.org]
Entire Body System
- Hypersomnia
Post-traumatic hypersomnia may mimic idiopathic hypersomnia closely, and it develops 6 to 18 months after head trauma. [steadyhealth.com]
A psychological examination excludes hypersomnia of psychiatric origin. Finally, neuro-radiological tests, which are rarely performed, exclude cerebral lesions. [orpha.net]
Hypersomnia types Primary hypersomnia • Hypersomnia-bulimia syndrome of Klein-Levine Characterized by semiannual bouts of hyperphagia followed by a 2-5 day 'sleep-off', seen in young ♂. • II. [medical-dictionary.thefreedictionary.com]
There are two types of hypersomnia, states the Encyclopedia of Mind Disorders: primary hypersomnia, or idiopathic hypersomnia; and recurrent hypersomnia, or recurrent primary hypersomnia. [livestrong.com]
- Excessive Daytime Sleepiness
Similar to any other hypersomnia, excessive daytime sleepiness may be the first symptom of progressive hydrocephalus in the absence of other features of hydrocephalus. [steadyhealth.com]
Excessive daytime sleepiness is the main symptom; sleep time may or may not be prolonged. [msdmanuals.com]
What is Pediatric Hypersomnia (Excessive Daytime Sleepiness)? Hypersomnia, or hypersomnolence, is excessive daytime sleepiness (EDS). [childrens.com]
- Falling
The disorder is sometimes confused with insomnia due to its characteristic disturbed night-time sleep and with epilepsy because of unexplained sudden falls caused by cataplexy. [stanfordhealthcare.org]
If you have hypersomnia, you will: regularly nap during the day and not feel refreshed fall asleep during the day, often while eating or talking still sleep for long hours at night you often fall asleep during the day sleepiness is affecting your life [nhs.uk]
Idiopathic hypersomnia is much like narcolepsy, except there is no cataplexy, no sleep paralysis, and no rapid eye movement when the victim first falls asleep. Hypersomnia is one of the symptoms of major depression. [psychnet-uk.com]
It is different from narcolepsy because idiopathic hypersomnia does not usually involve suddenly falling asleep (sleep attacks) or losing muscle control due to strong emotions (cataplexy). [wakehealth.edu]
A PSG can record sleep latency (how quickly you fall asleep) as well as which sleep stages you experience throughout a period of sleep. [verywellhealth.com]
- Fatigue
The chronic fatigue syndrome is characterized by persistent or relapsing fatigue that does not resolve with bed rest with several minor symptoms often associated. [steadyhealth.com]
The only symptom is excessive fatigue. Secondary hypersomnia is due to other medical conditions. These can include sleep apnea, Parkinson’s disease, kidney failure, and chronic fatigue syndrome. [healthline.com]
- Epilepsy
Family history revealed that her father had primary generalized epilepsy that was cured for more than 10 years. [pediatricneurosciences.com]
We present the case of a 44-year-old woman with a history of bipolar spectrum disorder and epilepsy who initially showed evidence of hypersomnia. [ncbi.nlm.nih.gov]
Medical conditions including multiple sclerosis, depression, encephalitis, epilepsy, or obesity may contribute to the disorder. Some people appear to have a genetic predisposition to hypersomnia; in others, there is no known cause. [ninds.nih.gov]
Jose E Cavazos, MD, PhD, FAAN Associate Professor with Tenure, Departments of Neurology, Pharmacology, and Physiology, University of Texas Health Science Center at San Antonio; Co-Director, South Texas Comprehensive Epilepsy Center; Director of the Epilepsy [medscape.com]
Gastrointestinal
- Nausea
Side effects- nausea, vomiting, abdominal pain, anorexia, hypertension, dizziness, headache. Contra indications- pregnancy. [medicaljoyworks.com]
The symptoms include: Excessive drowsiness Sleeping up to 20 hours a day Headaches Low-grade fever Loss of appetite Nausea and vomiting Irritability Nightmares Nightmares are vivid, frightening dreams. [cancer.net]
One week prior to the onset of these symptoms, he traveled to the Midwest where he experienced several days of nausea, vomiting, and diarrhea.John's physical and neurological examinations were normal except for the behaviors noted above. [ncbi.nlm.nih.gov]
Some of the common medications which can cause hypersomnia or excessive sleepiness as a side-effect include antidepressants, antihistamines (drugs used to treat nasal congestion and allergy), antiemetics (drugs used to treat nausea and vomiting), and [vilabin.com]
- Vomiting
Side effects- nausea, vomiting, abdominal pain, anorexia, hypertension, dizziness, headache. Contra indications- pregnancy. [medicaljoyworks.com]
One week prior to the onset of these symptoms, he traveled to the Midwest where he experienced several days of nausea, vomiting, and diarrhea.John's physical and neurological examinations were normal except for the behaviors noted above. [ncbi.nlm.nih.gov]
The symptoms include: Excessive drowsiness Sleeping up to 20 hours a day Headaches Low-grade fever Loss of appetite Nausea and vomiting Irritability Nightmares Nightmares are vivid, frightening dreams. [cancer.net]
Some of the common medications which can cause hypersomnia or excessive sleepiness as a side-effect include antidepressants, antihistamines (drugs used to treat nasal congestion and allergy), antiemetics (drugs used to treat nausea and vomiting), and [vilabin.com]
Skin
- Sweating
Side effects of amphetamines are peripheral release of norepinephrine, resulting in cardiac stimulation and vasoconstriction, Increased heart rate and blood pressure, palpitations, sweating, Increased anxiety in predisposed patients, may precipitate psychosis [medicaljoyworks.com]
This jerk causes breathing due to accelerated heart beat and sometimes causes sweating. This happens to those people who either do not take sufficient sleep or who remain under constant mental pressure or tension while they are awake. [lets-explore-all.com]
Other questions you'll want to address include whether you experience restlessness, sweating, or other symptoms when you are trying to sleep. [verywellhealth.com]
Other, not so common symptoms, include excessive sweating, struggling with body temperature regulation, faintness, sleep paralysis, Raynaud’s disease, etc. [countingsheep.net]
As for somatic complaints, more patients than controls experienced problems in regulating their body temperature (heavy sweating, feeling colder or, on the contrary, warmer, than the other people in the same room) and cold extremities ( Table 2 ). [onlinelibrary.wiley.com]
- Acne Vulgaris
DB00957 Norgestimate A progesterone used as a contraceptive and to treat acne vulgaris. DB09389 Norgestrel A progestin used in combination with ethinyl estradiol for oral contraception and prevention of pregnancy in women. [drugbank.ca]
Psychiatrical
- Suggestibility
Prospective sleep data suggested that the sleep of 'long sleepers' is characterized by a long time in bed, not long sleep duration. Longitudinal assessment suggested that 'excessive sleepiness' at baseline predicted mania/hypomania relapse. [ncbi.nlm.nih.gov]
A recent paper from researchers at Emory University suggests that the sleepiness of those with IH might be caused by hypersensitivity in their brain to the amino acid known as GABA. [nodss.org.au]
- Anxiety Disorder
Sudden Attack of Sleep, Excessive Daytime Sleepiness, Falling Asleep at Inappropriate Times Nightmare Disorder – Dream Anxiety Disorder, Nightmare, Sleep Disorder, Moaning, Frightening Dreams Parasomnia NOS – Abnormal Movements, Emotions and Behaviors [ietherapy.com]
Each of these is characterized by prominent sleep-wake complaints and each is frequently accompanied by depression and anxiety disorders. [doi.org]
In these cases, careful withdrawal from the possibly offending medication(s) is needed; then, medication substitution can be undertaken.[9] Mood disorders, like depression, anxiety disorder and bipolar disorder, can also be associated with hypersomnia [en.wikipedia.org]
Neurologic
- Insomnia
Outcomes were compared between respondents who experienced insomnia symptoms-only (N=404), hypersomnia symptoms-only (N=44), both insomnia and hypersomnia symptoms (N=184) and no sleep problems (N=55) during an MDE. [ncbi.nlm.nih.gov]
[…] of Insomnia Vs. [sleepopolis.com]
- Confusion
Some patients may develop symptoms of irritability, impulsive behavior, depersonalization, hallucinations, depression, and confusion. Associated Features: Headaches, which may be Migrainous in quality. [psychnet-uk.com]
The disorder is sometimes confused with insomnia due to its characteristic disturbed night-time sleep and with epilepsy because of unexplained sudden falls caused by cataplexy. [stanfordhealthcare.org]
[…] sleepiness or excessive length of sleep. hypersomnia [hī′pərsom′nē·ə] Etymology: Gk, hyper + L, somnus, sleep 1 sleep of excessive depth or abnormal duration, usually caused by psychological rather than physical factors and characterized by a state of confusion [medical-dictionary.thefreedictionary.com]
It may be associated with difficulty in awakening – the person may feel confused or disoriented (sleep drunkenness). People with hypersomnia often feel an increased need for sleep during the day however daytime naps do not relieve drowsiness. [wakehealth.edu]
Sleep drunkenness (SD) consists of difficulty in coming to complete wakefulness accompanied by confusion, disorientation, poor motor coordination, slowness, and repeated returns to sleep. [jamanetwork.com]
- Somnolence
OBJECTIVE: This study aims to examine the effect of levothyroxine, a thyroid hormone, on a prolonged nocturnal sleep and excessive daytime somnolence (EDS) in patients with idiopathic hypersomnia. [ncbi.nlm.nih.gov]
[…] syndrome Somnolence syndrome is a type of hypersomnia in children. [cancer.net]
[…] or involuntary napping, but not due to any other physical or psychological condition. hy·per·som·ni·a ( hī'pĕr-som'nē-ă ), A condition in which sleep periods are excessively long, but the person responds normally in the intervals; distinguished from somnolence [medical-dictionary.thefreedictionary.com]
Recurrent Hypersomnia on the other hand, involves periods of excessive somnolence lasting from one or more days, recurring within a year or more. [ietherapy.com]
Idiopathic hypersomnia without long sleep time is characterized by isolated excessive diurnal somnolence of over 3 months, with irresistible and more or less refreshing diurnal naps. [orpha.net]
- Headache
English Rare: ataxia, convulsion, headache, high pitched crying, hyperkinesia, hypersomnia, lethargy, tremor. [mymemory.translated.net]
Side effects- nausea, vomiting, abdominal pain, anorexia, hypertension, dizziness, headache. Contra indications- pregnancy. [medicaljoyworks.com]
Associated Features: Headaches, which may be Migrainous in quality. Fainting Episodes Hypnagogic Hallucinations and Sleep Paralysis may be encountered occasionally. Differential Diagnosis: Some disorders have similar symptoms. [psychnet-uk.com]
Some patients complain of headaches after sleeping for longer than usual. This can be explained by the fact that some neurotransmitters such as serotonin are secreted due to disrupted sleeping patterns. [thekatynews.com]
These symptoms include headache, syncope, orthostatic hypotension, and peripheral vasoconstriction (cold hands and feet). [elaine-moore.com]
- Stroke
We performed a retrospective review of 213 patients admitted to a stroke-specialized acute rehabilitation unit in the United States. All patients had ischemic or hemorrhagic stroke, and no dementia or dependence on others pre-stroke. [ncbi.nlm.nih.gov]
Neurological Disorders and Stroke » [brainfacts.org]
(Image: Image Source Pink/Image Source/Getty Images) Hypersomnia is the opposite of insomnia; the National Institute of Neurological Disorders and Stroke explains that this disorder is characterized by excessive daytime sleepiness or prolonged nighttime [livestrong.com]
Divisions and Centers Overview Brain Aging, Behavioral and Cognitive Neurology Division Epilepsy Movement Disorders & Neurorestoration Multiple Sclerosis and General Neurology Neurofibromatosis Center Neurocritical Care Neuromuscular Sleep Medicine Stroke [neurology.ufl.edu]
Treatment
Management and treatment Treatment is based on stimulants such as modafinil, which is the first-line treatment due to its better risk/benefit ratio. Other stimulant drugs are methylphenidate and amphetamines. [orpha.net]
Future Treatments This discovery opens up several new possibilities for treatments for patients with IH. [nodss.org.au]
And read our SomnusNooze articles about Treatments HERE. [hypersomniafoundation.org]
Type and frequency of substance use were assessed at treatment entry. Substance use was also assessed 12 months following treatment completion. [ncbi.nlm.nih.gov]
Prognosis
The attacks usually continue indefinitely. x Prognosis The prognosis for persons with hypersomnia depends on the cause of the disorder. [ninds.nih.gov]
Prognosis The prognosis for persons with hypersomnia depends on the cause of the disorder. While the disorder itself is not life threatening, it can have serious consequences, such as automobile accidents caused by falling asleep while driving. [brainfacts.org]
Prognosis The disease has a negative social and professional impact. Its evolution is often stable in severity, with some spontaneous improvements described. [orpha.net]
Referral to a sleep specialist is required in performing objective sleep studies, establishing the diagnosis, recommending treatment, and providing a prognosis. Many sleep disorders are treatable and aeromedically waiverable. [ncbi.nlm.nih.gov]
Prognosis Hypersomnia can be chronic, especially when not associated with another disorder and therefore can continue to worsen if left untreated. Treatments are readily available and can improve the prognosis significantly. [allpsych.com]
Etiology
Etiology Etiology is unknown. There is no association with any particular HLA marker or with a decrease in the orexin/hypocretin levels. [orpha.net]
[…] the etiology or severity of centrally mediated hypersomnia. [ncbi.nlm.nih.gov]
Narcolepsy: The narcolepsy is with unknown etiology. Single inheritance cases are described, but there is often no occurrence in the family. [differencebetween.net]
Epidemiology
Summary Epidemiology The prevalence is unknown but has been estimated at 1/10,000 - 1/25,000 for the first form and 1/11,000 to 1/100,000 for the second one. Both forms start before the age of 25 years old and affect both sexes equally. [orpha.net]
Articles were included if they were in English and included information regarding the epidemiology, diagnosis, pathophysiology, or treatment of IH or HD. [ncbi.nlm.nih.gov]
Epidemiology of narcolepsy : development of the Ullanlinna Narcolepsy Scale / Christer Hublin -- 14. Epidemiology of narcolepsy / Maurice M. Ohayon -- 15. [worldcat.org]
Pathophysiology
Articles were included if they were in English and included information regarding the epidemiology, diagnosis, pathophysiology, or treatment of IH or HD. [ncbi.nlm.nih.gov]
Article highlights Little is known about the pathophysiology, clinical characterization and treatment response of IH. Due to insufficient level of evidences, no treatment has currently an indication for the treatment of EDS in IH. [tandfonline.com]
Prevention
Thus, this case suggests that vitamin B12 may be effective for preventing recurrent hypersomnia. [ncbi.nlm.nih.gov]
@article{89dcbb2027d846b78036d83b83aa7021, title = "Prevention of hypermenorrhea with leuprolide in premenopausal women undergoing bone marrow transplantation", abstract = "We report on the use of leuprolide to prevent heavy menstrual bleeding that often [ucdavis.pure.elsevier.com]
Physicians should give an attention to the sleep symptoms to prevent the delay in the diagnosis and effective intervention. [e-jsm.org]
If all these treatments are not helpful then the last resort is surgery to prevent blockage of airways while sleeping. [epainassist.com]
Primary hypersomnias such as idiopathic hypersomnia and narcolepsy may not be preventable. [sleepopolis.com]