Diagnosis of central disorders of hypersomnolence: A reappraisal by European experts
Jazyk angličtina Země Velká Británie, Anglie Médium print-electronic
Typ dokumentu časopisecké články, přehledy
PubMed
32311642
DOI
10.1016/j.smrv.2020.101306
PII: S1087-0792(20)30049-6
Knihovny.cz E-zdroje
- Klíčová slova
- Cataplexy, Classification, Diagnosis, Excessive daytime sleepiness, Fatigue, Hypersomnia, Hypersomnolence, MSLT, Narcolepsy, Sleep, Sleep inertia,
- 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 Neurology Hephata Klinik and Philipps Universität Marburg Germany
Department of Neurology James Cook University Hospital Middlesbrough UK
Citace poskytuje Crossref.org
Data-Driven Phenotyping of Central Disorders of Hypersomnolence With Unsupervised Clustering