OBJECTIVE To determine the relationship between cosleeping and sleep problems in cultures with very different sleep practices. DESIGN Interview study. SETTING Families in urban Japan and the United States identified through pediatric and other professional contacts. PARTICIPANTS Parents of healthy 6- to 48-month-old children (56 Japanese parents and 61 white US parents). All children had ...

Kleine-Levin syndrome is a recurrent hypersomnia associated with symptoms of hyperphagia, hypersexuality, and cognitive impairment. This article reviews the current available research and describes common clinical symptoms, differential diagnosis, and acceptable workup and treatment. Although deficits have traditionally been thought to resolve between episodes, functional imaging studies and lo...

Narcolepsy is a disorder of unknown etiology. It is characterized by excessive sleepiness that is typically associated with cataplexy and other Rapid Eye Movement (REM) sleep phenomena, such as sleep paralysis and hypnagogic hallucinations. When administering general anesthesia to patients with narcolepsy, delayed emergence after general anesthesia, post-operative hypersomnia and drug interacti...

OBJECTIVES Myotonic dystrophy is a disease characterised by myotonia and muscle weakness. Psychiatric disorder and sleep problems have also been considered important features of the illness. This study investigated the extent to which apathy, major depression, and hypersomnolence were present. The objective was to clarify if the apathy reported anecdotally was a feature of CNS involvement or if...

; Published online before print October 17, 2012; 2012;79;1927 Neurology José Haba-Rubio, John O. Prior, Eric Guedj, et al. hypersomnia and behavioral symptoms Kleine-Levin syndrome: Functional imaging correlates of January 29, 2013 This information is current as of http://www.neurology.org/content/79/18/1927.full.html located on the World Wide Web at: The online version of this article, along ...

Kleine-Levin syndrome (KLS) is a rare disorder characterized by episodic hypersomnia along with cognitive and behavioral disturbances (i.e., hyperphagia and hypersexuality). It is commonly seen in a young male. Not much is known about its long-term management; however, many reports suggest the usefulness of anticonvulsants and lithium for the same. We hereby report a case of childhood KLS from ...

The doctors of centuries past were pure clinicians, and therefore keen observers. They left us descriptions of many pathologies we are now "rediscovering". At the end of the Enlightenment in 1786, a French physician by the name of Edmé Chauvot de Beauchêne published a case of recurrent episodes of hypersomnia associated with disordered eating. Does he offer the oldest currently identified obser...

Obstructive sleep apnea (OSA) results from a structural compromise of the upper airway combined with decrease in muscle tone during sleep. Overt upper airway pathology is rare, however a variety of pharyngeal tumors have been well described as a cause of OSA. We describe a case of a mass originating in the carotid body resulting in severe OSA with hypersomnia resistant to positive pressure vent...

Adenosine 3',5'-monophosphate (cyclic AMP), 5-hydroxyindoleacetic acid (5-HIAA) and homovanillic acid (HVA) were determined in the cerebrospinal fluid of patients with respiratory disorder and hypersomnia and in control patients. Patients with the sleep apnoea syndrome confirmed polygraphically showed elevated levels of cyclic AMP and 5-HIAA. Cyclic AMP levels were inversely correlated with art...

BACKGROUND Sleep-disordered breathing (SDB) and sleep-wake disturbances (SWD) are highly prevalent in stroke patients. Recent studies suggest that they represent both a risk factor and a consequence of stroke and affect stroke recovery, outcome, and recurrence. METHODS Review of literature. RESULTS Several studies have proven SDB to represent an independent risk factor for stroke. Sleep stu...