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Diagnosis of central disorders of hypersomnolence: A reappraisal by European experts
GJ. Lammers, CLA. Bassetti, L. Dolenc-Groselj, PJ. Jennum, U. Kallweit, R. Khatami, M. Lecendreux, M. Manconi, G. Mayer, M. Partinen, G. Plazzi, PJ. Reading, J. Santamaria, K. Sonka, Y. Dauvilliers
Jazyk angličtina Země Velká Británie
Typ dokumentu časopisecké články, přehledy
- MeSH
- diagnóza * MeSH
- lidé MeSH
- poruchy nadměrné spavosti * klasifikace diagnóza MeSH
- poruchy spánku a bdění klasifikace diagnóza patofyziologie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
- Geografické názvy
- Evropa MeSH
The aim of this European initiative is to facilitate a structured discussion to improve the next edition of the International Classification of Sleep Disorders (ICSD), particularly the chapter on central disorders of hypersomnolence. The ultimate goal for a sleep disorders classification is to be based on the underlying neurobiological causes of the disorders with clear implication for treatment or, ideally, prevention and or healing. The current ICSD classification, published in 2014, inevitably has important shortcomings, largely reflecting the lack of knowledge about the precise neurobiological mechanisms underlying the majority of sleep disorders we currently delineate. Despite a clear rationale for the present structure, there remain important limitations that make it difficult to apply in routine clinical practice. Moreover, there are indications that the current structure may even prevent us from gaining relevant new knowledge to better understand certain sleep disorders and their neurobiological causes. We suggest the creation of a new consistent, complaint driven, hierarchical classification for central disorders of hypersomnolence; containing levels of certainty, and giving diagnostic tests, particularly the MSLT, a weighting based on its specificity and sensitivity in the diagnostic context. We propose and define three diagnostic categories (with levels of certainty): 1/"Narcolepsy" 2/"Idiopathic hypersomnia", 3/"Idiopathic excessive sleepiness" (with subtypes).
Center for Narcolepsy and Hypersomnias University Witten Herdecke Witten Germany
Department of Biomedical and Neuromotor Sciences University of Bologna Bologna Italy
Department of Clinical Neurosciences University of Helsinki Helsinki Finland
Department of Neurology Hephata Klinik and Philipps Universität Marburg Germany
Department of Neurology Inselspital Bern University Hospital University of Bern Bern Switzerland
Department of Neurology James Cook University Hospital Middlesbrough UK
Department of Neurology Leiden University Medical Centre Leiden the Netherlands
Department of Neurology Sechenov 1st State Medical University Moscow Russia
Helsinki Sleep Clinic Vitalmed Research Centre Helsinki Finland
IRCCS Istituto delle Scienze Neurologiche di Bologna Bologna Italy
Pediatric Sleep Center Hospital Robert Debré Paris France
Sleep Wake Centre SEIN Achterweg 5 Heemstede the Netherlands
Citace poskytuje Crossref.org
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- $a Lammers, Gert Jan $u Sleep Wake Centre SEIN, Achterweg 5, Heemstede, the Netherlands; Department of Neurology, Leiden University Medical Centre, Leiden, the Netherlands. Electronic address: g.j.lammers@lumc.nl
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- $a The aim of this European initiative is to facilitate a structured discussion to improve the next edition of the International Classification of Sleep Disorders (ICSD), particularly the chapter on central disorders of hypersomnolence. The ultimate goal for a sleep disorders classification is to be based on the underlying neurobiological causes of the disorders with clear implication for treatment or, ideally, prevention and or healing. The current ICSD classification, published in 2014, inevitably has important shortcomings, largely reflecting the lack of knowledge about the precise neurobiological mechanisms underlying the majority of sleep disorders we currently delineate. Despite a clear rationale for the present structure, there remain important limitations that make it difficult to apply in routine clinical practice. Moreover, there are indications that the current structure may even prevent us from gaining relevant new knowledge to better understand certain sleep disorders and their neurobiological causes. We suggest the creation of a new consistent, complaint driven, hierarchical classification for central disorders of hypersomnolence; containing levels of certainty, and giving diagnostic tests, particularly the MSLT, a weighting based on its specificity and sensitivity in the diagnostic context. We propose and define three diagnostic categories (with levels of certainty): 1/"Narcolepsy" 2/"Idiopathic hypersomnia", 3/"Idiopathic excessive sleepiness" (with subtypes).
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- $a Bassetti, Claudio L A $u Department of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland; Department of Neurology, Sechenov First State Medical University, Moscow, Russia
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