Academic Journal

Idiopathic hypersomnia years after the diagnosis

التفاصيل البيبلوغرافية
العنوان: Idiopathic hypersomnia years after the diagnosis
المؤلفون: Šonka, Karel, Feketeová, Eva, Nevšímalová, Soňa, Horvat, Eszter Maurovich, Příhodová, Iva, Dostálová, Simona, Galušková, Karolína, Milata, Martin, Bušková, Jitka, Susta, Marek
المساهمون: Ministerstvo Zdravotnictví Ceské Republiky
المصدر: Journal of Sleep Research ; volume 33, issue 2 ; ISSN 0962-1105 1365-2869
بيانات النشر: Wiley
سنة النشر: 2023
المجموعة: Wiley Online Library (Open Access Articles via Crossref)
الوصف: Summary Little attention has been paid to the long‐term development of idiopathic hypersomnia symptoms and idiopathic hypersomnia comorbidities. The aim of this study was to describe the general health of patients with idiopathic hypersomnia years after the initial diagnosis, focusing on current subjective hypersomnolence and the presence of its other possible causes. Adult patients diagnosed with idiopathic hypersomnia ≥ 3 years ago at sleep centres in Prague and Kosice were invited to participate in this study. A total of 60 patients were examined (age 47.3 ± SD = 13.2 years, 66.7% women). In all participants, their hypersomnolence could not be explained by any other cause but idiopathic hypersomnia at the time of diagnosis. The mean duration of follow‐up was 9.8 + 8.0 years. Fifty patients (83%) reported persisting hypersomnolence, but only 33 (55%) had no other disease that could also explain the patient's excessive daytime sleepiness and/or prolonged sleep. In two patients (3%), the diagnosis in the meantime had changed to narcolepsy type 2, and 15 patients (25%) had developed a disease or diseases potentially causing hypersomnolence since the initial diagnosis. Complete hypersomnolence resolution without stimulant treatment lasting longer than 6 months was reported by 10 patients (17%). To conclude, in a longer interval from the diagnosis of idiopathic hypersomnia, hypersomnolence may disappear or may theoretically be explained by another newly developed disease, or the diagnosis may be changed to narcolepsy type 2. Thus, after 9.8 years, only 55% of the examined patients with idiopathic hypersomnia had a typical clinical picture of idiopathic hypersomnia without doubts about the cause of the current hypersomnolence.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1111/jsr.14011
الاتاحة: http://dx.doi.org/10.1111/jsr.14011
https://onlinelibrary.wiley.com/doi/pdf/10.1111/jsr.14011
Rights: http://creativecommons.org/licenses/by-nc-nd/4.0/
رقم الانضمام: edsbas.41B57ABB
قاعدة البيانات: BASE