The difficulty diagnosing a hypersomnia is related to the complexity of underlying causes and poor understanding of pathophysiological factors. They may also have other sleep-related problems, including a lack of energy and trouble thinking clearly.. The diagnostic criteria of recurrent hypersomnia include EDS episodes of 2–28 days duration occurring at least once a year. Primary hypersomnia is rarer than secondary hypersomnia, affecting less than 1% of the population and usually associated with a more widely known diagnosis. G47.1 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. COVID-19: Advice, updates and vaccine options ... (psychiatry), brain conditions (neurology) and other areas, work together to diagnose and treat people who have idiopathic hypersomnia. The nocturnal sleep duration should be qualified as adequate before a diagnosis of idiopathic hypersomnia is made. Today, the capacity needed to serve the population seeking diagnosis and treatment is inadequate. 1. I just got my sleep results back. Being occasionally tired does not necessarily mean you have hypersomnia. How is Idiopathic Hypersomnia (IH) diagnosed? Diagnosis of Idiopathic Hypersomnia. Very comfortable. 過眠症は治療できる？. Awareness of idiopathic hypersomnia among physicians and the general public is believed to be low, and diagnosis may be delayed by years. Yes, Hypersomnia means “excessive sleepiness”. Hypersomnia is characterized by excessive daytime sleepiness, and daytime naps that do not result in a more refreshed or alert feeling. The multiple sleep latency test (MSLT) tests for excessive daytime sleepiness by measuring how quickly you fall asleep in a quiet environment during the day. The diagnosis of IH relies upon the exclusion of other causes of excessive daytime sleepiness (EDS). If symptoms occur due to medication or a medical disorder, then the person won't be diagnosed with hypersomnia. This is the American ICD-10-CM version of G47.1 - other international versions of ICD-10 G47.1 may differ. Hypersomnia, or excessive sleepiness, is a condition in which a person has trouble staying awake during the day. I feel better already! This could be caused by shift work, chronic partying, chronic pain, and more. “Hypersomnia can be treated with prescription medications or lifestyle changes like exercising, reducing alcohol and caffeine consumption, and other sleep hygiene practices,” says Dr. Peña-Hernández. Idiopathic hypersomnia is a sleep disorder that causes you to be excessively sleepy during the day and to have trouble waking up from sleep. Hypersomnia is a condition in which you feel extreme daytime sleepiness despite getting sleep that should be adequate (or more than adequate). Hypersomnia Treatment. call receiving. Stimulant... Clinical trials. Hypersomnia or hypersomnolence is a neurological disorder. A retrospective review of our database initially identified 997 patients, utilizing “idiopathic hypersomnia,” “hypersomnia NOS,” and “primary hypersomnia” as keywords. Flowing bottom. Idiopathic hypersomnia Diagnosis. The Biggest Surprises After My Lupus Diagnosis - blogs.webmd.com; ZZ Biotech's Stroke Drug Moves Closer to Pivotal Phase 3 Clinical Trial as the NIH Awards First Tranche of $30 Million Grant to the Keck School of Medicine of USC - Business Wire; Ventilation, Filtration Help Stop COVID-19 Spread - Healthline Not all daytime drowsiness is hypersomnia, and only a qualified medical professional can diagnose if you are suffering from excessive daytime sleepiness. A diagnosis of recurrent primary hypersomnia is established when periods of excessive sleepiness lasts for at least 3 days and occur several times a year, for at … Hypersomnia is a disorder in which a person experiences extreme tiredness during the day, even after a full night’s rest. Research. After excluding all other sleep disorders that cause excessive sleepiness, the prevalence of a hypersomnia disorder was 1.5%, substantially greater than the … Making a diagnosis of idiopathic hypersomnia requires carefullly excluding other causes of daytime sleepiness such as insufficient sleep (sleep deprivation), disturbed nocturnal sleep, insomnia , circadian rhythm disorders , sleep-related breathing ( sleep apnea ) … Hypersomnia is characterized by recurrent episodes of excessive daytime sleepiness or prolonged nighttime sleep. Hypersomnia Diagnosis + Cataplexy? What’s the difference between Narcolepsy & Idiopathic Hypersomnia? To find out if you have IH, your doctor will do a physical exam and ask you about your family and medical history. Treatments for the disorder are tailored to the symptoms that are typically present after the most likely causes have been assessed. Hypersomnia goal of this study was to compare the information sleep specialists (“primary IH”) on the claims to understand the effects of applying a report providing to patients with the materials narcolepsy patients re- more specific definition of IH. Other causes of hypersomnia include sleep … The charts of eligible patients were examined in detail, and data were abstracted and analyzed. Hypersomnia is defined as excessive sleepiness. You can initially try fixing your hypersomnia by making some lifestyle changes. • Inadequate sleep hygiene is the most common cause of daytime sleepiness in adolescents and adults. Diagnostic criteria for hypersomnia in different classification systems identify hypersomnia as either associated with a medical disorder, psychiatric disorder, or otherwise. Symptoms Narcolepsy is often associated with excessive daytime sleepiness, cataplexy, hypnagogic or hypnopompic hallucinations, sleep paralysis, disturbed night sleep, and insomnia. Idiopathic hypersomnia is a neurological disorder which is characterized primarily by excessive sleep and excessive daytime sleepiness. Parasomnias can disrupt a person’s sleep. Diagnosing Kleine-Levin Syndrome. What is the prevalence of Idiopathic Hypersomnia (IH)? In 1966, William Dement proposed that patients with excessive daytime sleepiness, but without cataplexy, sleep paralysis, or sleep-onset rapid eye movement (REM), should not be considered narcoleptic. Such as: The biggest takeaway for providers and patients is that when in doubt, consider retaking the MSLT. The Diagnosis Process. Diagnosing KLS is admittedly a challenge but can be a relief for a family in search of answers. Unlike narcolepsy type 1, idiopathic hypersomnia is not quite easy to assess, and the margins of error of diagnosing this condition are huge, which makes it like “the wild, wild west that needs more investigation,” according to Cairns. Idiopathic hypersomnia is a debilitating central disorder of hypersomnolence characterized by excessive daytime sleepiness, severe sleep inertia, and prolonged nighttime sleep. Hypersomnia, in this article's context, includes reduced sleep latency, excessive duration of sleep at night, and excessive daytime sleepiness (EDS). Proposed DSM-5 criteria for sleep-wake disorders include dropping the DSM-IV’s “primary insomnia” diagnosis in favor of “insomnia disorder,” and decreasing use of the term “not otherwise specified.”. April 22, 2012. Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Idiopathic hypersomnia (IH) is a neurological sleep disorder that can affect many aspects of a person's life. As of August 2021, an FDA-approved medication exists for IH, in addition to … According to the National Sleep Foundation, up to 40% of people … In making a diagnosis of hypersomnia, your doctor will ask you about your sleeping habits; if you wake up at night, how much sleep you get at night, and whether you fall asleep during the day. The Hypersomnia Foundation strives to improve the lives of people with hypersomnia by advocating on their behalf, providing support, educating the public and healthcare professionals, raising awareness, and funding research into effective treatments, better diagnostic tools, and, ultimately, a cure for these debilitating conditions. ... Idiopathic hypersomnia is a diagnosis of exclusion — it cannot be caused by other medical conditions or sleep disorders. The following are common causes of hypersomnia: 2. In the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (), hypersomnolence, of which there are several subtypes, appears … If you feel excessively drowsy during the day, try making some lifestyle changes first. Any disease or condition with an unknown source may be called idiopathic. Diagnosis. The MSLT is a tool currently used to help in the diagnostic process for narcolepsy and idiopathic hypersomnia. The diagnostic process is similar for both narcolepsy and IH. Proper diagnosis of idiopathic hypersomnia is necessary for developing a beneficial treatment strategy. For some diseases, symptoms may begin in a single age range or several age ranges. Hypersomnia and narcolepsy are very similar conditions, but there are some distinct differences. 過眠症は治療できます。. Self-imposed or unavoidable sleep deprivation. Hypersomnia refers to excessive sleepiness during the day that is generally not related to getting a good, full night’s sleep. Hypersomnia is a central nervous system hypersomnolence disorder characterized by excessive daytime sleepiness despite sufficient sleep at night (ie, sleep inertia / … Definition. still sleep for long hours at night. First, the authors break up the term “ hypersomnolence ” into two forms, excessive daytime sleepiness ( EDS) and excessive need for sleep (ENS). Bangalore Urban, Karnataka, India. The maintenance of wakefulness test proved unsatisfactory as a diagnostic procedure, but appeared useful as an adjunct procedure in the evaluation of treatment efficacy of … Multiple sleep latency test. This measures your sleepiness and the types and stages of sleep you go through during daytime naps. This test is generally conducted the day after a polysomnogram. Because the cause of idiopathic hypersomnia isn't known, the treatment is aimed at easing symptoms. Your doctor can confirm a diagnosis of IH in several ways, including: An overnight sleep study. Hypersomnia Test and Diagnosis. This can be either in the form of recurrent episodes of excessive daytime sleepiness or prolonged night sleep. The other can measure how severe your IH symptoms are. Diagnostic criteria for hypersomnia in different classification systems identify hypersomnia as either associated with a medical disorder, psychiatric disorder, or otherwise. 3. Unfortunately, there is currently no U.S. FDA approved treatment specifically for idiopathic hypersomnia. Thank you. My avg. Methods None of the normal features of excessive daytime sleepiness are observed in Idiopathic Hypersomnia. COVID-19: Advice, updates and vaccine options ... (psychiatry), brain conditions (neurology) and other areas, work together to diagnose and treat people who have idiopathic hypersomnia. A sleep test may also be prescribed in order to see if Sleep Apnea or other sleep disorders are involved. a PDF of it here. F51.1. If you consistently feel drowsy during the day, talk to your doctor. Also called a polysomnogram, this is a sleep test in a … It’s called the Epworth Sleepiness Scale, or ESS. Doctors use several tests to diagnose hypersomnia, including: sleep diary: You record sleep and awake times through the night to track sleeping patterns. Hypersomnia and narcolepsy are very similar conditions, but there are some distinct differences. A thorough evaluation to assess symptoms and determine the differential diagnosis offers the best opportunity to define specific treatment options available for the individual with hypersomnolence. Idiopathic hypersomnia diagnosis. It is marked by a person having a hard time staying awake all through the day. Understand Your Diagnosis. It’s a very disruptive condition for me.. "/> Was: $17.95 Now: $13.95) (No reviews yet) Write a Review Write a Review Close ×. ||| Other causes of hypersomnia include sleep … Hypersomnia Diagnosis. The diagnostic process is similar for both narcolepsy and IH. Clinical subtypes are Kleine–Levin syndrome and menstrual related hypersomnia. Then twice a month or so I have longer sleep periods where I sleep 14-22 hours a day for anywhere from 3 days to 10 days. G47.11 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. This activity is intended for neurologists and pulmonologists. Hypersomnia is a central nervous system hypersomnolence disorder characterized by excessive daytime sleepiness despite sufficient sleep at night (ie, sleep inertia / sleep drunkenness ). Hypersomnia Poster Rating Required Select Rating 1 star (worst) 2 stars 3 stars (average) 4 stars 5 stars (best) Name Required Rating Required. People with parasomnia or hypersomnia can both exhibit excessive daytime sleepiness. A MSLT immediately follows an overnight polysomnogram (PSG). I didn't hit REM in any of my naps. Idiopathic hypersomnia is unique from other disorders that also cause excessive daytime sleepiness (EDS), such as narcolepsy, sleep apnea, or depression 3,4 People with idiopathic hypersomnia still experience EDS during the day despite sleeping a normal or longer than normal amount of time each night 2,4 Because the cause of idiopathic hypersomnia isn't known, the treatment is aimed at easing symptoms. It is important to consider that hypersomnia is at times referred to as tiredness or fatigue. Treating Hypersomnia. It consists of five 20-minute nap tests spread throughout the day. 2015 - Present7 years. Chris Y. Chronic hypersomnia is characterized by at least 3 months of excessive sleepiness prior to diagnosis and may affect 4% to 6% of the population. Such as: The doctor will also assess whether you have narcolepsy or sleep apnea. Idiopathic hypersomnia (IH) is a chronic neurological disorder that results in daytime sleepiness, frequently accompanied by long nocturnal or daytime sleep, unrefreshing sleep, difficulty in awakening, cognitive dysfunction, and autonomic symptoms. Hypersomnia is a debilitating neurological … To diagnose your condition, your doctor will review your symptoms, go over your family and medical history, including your medications, and conduct a physical examination. Analysis commissioned on behalf of the com- mittee indicated that in many health care systems and communities, the waiting time for a polysomnogram, the procedure used to diagnose many sleep disorders, may be as much as 10 weeks (see Chapter 9). It’s called the Idiopathic Hypersomnia Severity Scale, or IHSS. Use a child code to capture more detail. fall asleep during the day, often while eating or talking. The goal of this activity is to improve accurate diagnosis and appropriate management of idiopathic hypersomnia. Camp May 18, 2022 Pool water treatment Comments Off on Idiopathic Hypersomnia Treatment Market is Expected to Grow at a CAGR of 8.7% Over the Forecast Period 2022-2028 | Takeda Pharmaceutical Company Limited, Teva Pharmaceutical Industries Ltd., Jazz Pharmaceuticals, BIOPROJECT 1 Views. According to the National Sleep Foundation, 20 out of 100 people suffer from hypersomnia. The multiple sleep latency test (MSLT) tests for excessive daytime sleepiness by measuring how quickly you fall asleep in a quiet environment during the day. According to the National Sleep Foundation, 20 out of 100 people suffer from hypersomnia. Hypersomnia Mug. Idiopathic Hypersomnia. A detailed clinical history is essential to reach an accurate diagnosis. Response to treatment was graded utilizing an internally developed scale. Hypersomnia Diagnosis + Cataplexy? When a diagnosis of idiopathic hypersomnia is established, treatment is largely pharmacologic and aimed at control of symptoms, with generally good, but somewhat variable results. 診断には専用機器を使って検査を行えば正確に今の状態を確認することが出来ます。. One measures your level of daytime sleepiness. The onset of hypersomnia after clarithromycin intake, its remission once the drug was stopped, and the absence of other possible causative factors favored the diagnosis of … There are three essential criteria for diagnosing hypersomnia: Daily symptoms for at least three months; Sleepiness symptoms that are not improved by a good night’s rest It is a debilitating condition often profoundly affecting work, education, and relationships. Idiopathic hypersomnia is a sleep disorder in which a person is excessively sleepy during the day and has great difficulty being awakened from sleep. Fast Five Quiz: Idiopathic Hypersomnia Differential Diagnosis. Idiopathic hypersomnia with long sleep time. Due to its similarity to other sleep disorders, this condition can be difficult to diagnose. The primary diagnostic criterion for primary hypersomnia is excessive daytime sleepiness for at least one month in acute conditions or three months in persistent conditions. Hypersomnia includes a group of disorders in which the primary complaint is excessive daytime sleepiness. Hypersomnia Diagnosis. It may happen even after long stretches of sleep and can occur with no medical conditions present. Idiopathic hypersomnia is a diagnosis of exclusion. Fortunately for people who are concerned that they are suffering from this sleep disorder, there is a hypersomnia test available. Hypersomnia may have several causes, and idiopathic hypersomnia is especially difficult to diagnose. Flattering dress with lots of stretch. Idiopathic hypersomnia is a neurological sleep disorder characterized by the inability to sleep at any time of day or night, especially when driving a car or working, which makes it potentially dangerous. The pathophysiology of idiopathic hypersomnia is not well understood, and diagnosis requires exclusion of other more common causes of excessive sleepiness. Hypersomnia is believed to be caused by the central nervous system. To merit a hypersomnia diagnosis, you need to be feeling overwhelming tiredness during the day on a recurring basis- several times a week for at least three months. ... Age of onset can vary for different diseases and may be used by a doctor to determine the diagnosis. Diagnosis Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week. Close. A person who suffers from the disorder will have an uncontrollable desire for sleep. Check if it's hypersomnia. a PDF of it here. Excessive sleep time or excessive sleepiness can have many causes and can cause distress and malfunctions. Research. The etiology of Idiopathic Hypersomnia is not known yet. Hypersomnia Mug; Hypersomnia Mug. Essentially, there are two types of hypersomnia, primary and secondary. … Hypersomnia is primarily characterized by the following symptoms: Inability to stay awake during the day Sleep inertia, or trouble waking up after normal sleep hours Sleep drunkenness I went in for a sleep study and was diagnosed two months later with hypersomnia. • Use of actigraphy may be helpful to distinguish the disorder from the consequences of inadequate sleep. Doing a sleep study may sound scary or complicated. Sleep technicians will be there to help you throughout the process. A detailed clinical history is essential to reach an accurate diagnosis. Hypersomnia, or excessive sleepiness, is a condition in which a person has trouble staying awake during the day.People who have hypersomnia can fall asleep at any time; for instance, at work or while they are driving. Hypersomnia (Hypersomnolence) Symptoms and Diagnosis. Hypersomnia, also known as hypersomnolence, is a condition involving excessive daytime sleepiness or prolonged nighttime sleep on a recurring basis. Adolescents and young adults are most likely to be affected by the condition. Hypersomnia affects your ability to function at work and socially, affects your quality of life and increases your chance of accidents. Hypersomnia may be defined as sleepiness at an inappropriate time or in an inappropriate situation. Daytime naps do not reduce the symptom of excessive sleepiness, and one may often feel disoriented or groggy after a long nap. Because its primary symptom, hypersomnia, is common to a number of disorders, the process by which we diagnose KLS is one of exclusion – ruling out other conditions that share symptoms. Your doctor will also want to know if you are having any emotional problems or are taking any medications that may be interfering with your sleep. When a diagnosis of idiopathic hypersomnia is established, treatment is largely pharmacologic and aimed at control of symptoms, with generally good, but somewhat variable results. Your healthcare provider will ask about your sleep history. Hypersomnia is defined as excessive sleepiness. Idiopathic Hypersomnia (IH), sometimes referred to as Idiopathic Hypersomnolence, is a neurological sleep/wake disorder characterised by excessive sleep and daytime sleepiness despite extraordinary amounts of good quality sleep. • Narcolepsy without cataplexy can be distinguished by sleep-onset REM periods. even during inappropriate times. With drug therapy, benzodiazepine drugs, antidepressants, and antipsychotics with a sedative effect are most often used: Prescribing drugs for hypersomnolence requires an individual approach. An average sleep duration of less than 7 hours can result in excessive daytime sleepiness similar in presentation to hypersomnolence. sleep latency is 6.4 mins. According to the International Classification of Sleep Disorders 9, several important criteria must be met for a person to be diagnosed with idiopathic hypersomnia: Daily periods of excessive sleepiness, or daytime lapses into sleep, for at least 3 months Idiopathic hypersomnia (IH) is not common in the general population with a prevalence rate around 0.3%. Due to the fact that idiopathic hypersomnia is not common and the symptoms experienced could be falsely considered as part of other sleep disorders, it is not always easy to make a proper diagnosis.There are certain criteria through which must be present to declare the condition of idiopathic hypersomnia in a patient, including:. The usual approach is to consider other potential causes of excessive daytime sleepiness such as: Depression Hypersomnia can be secondary to disorders such as clinical depression, multiple sclerosis, encephalitis, epilepsy, or obesity. Hypersomnia can also be a symptom of other sleep disorders, like sleep apnea. But over a million people do sleep studies every year. Symptoms associated with idiopathic hypersomnia. Idiopathic = The cause is unknown. “Hypersomnia is being extremely sleepy during the day” Those with hypersomnia suffer from constant, recurrent episodes of extreme sleepiness and symptoms of sleep deprivation . Hypersomnnia, or excessive daytime sleepiness (EDS), is usually a symptom of a larger condition. Symptoms, Types, Causes, And Diagnosis. The condition typically becomes evident in early adulthood and most patients diagnosed with IH will have had the disorder for many years prior to their diagnosis. Between attacks of sleepiness the patient is symptom free. The Hypersomnia Foundation has compiled FIVE THINGS FOR YOU TO KNOW, to give you the information and resources you need to help you take the first steps forward in understanding and coping with your new diagnosis. 脳霧（ブレイン・フォグ）、エネルギーの欠如、慢性的な疲労感、などとも表現されます。. Hypersomnia can also lead to prolonged nighttime rest or daytime sleep attacks. Leading into a long sleep I get increasingly groggy and have impaired cognition and mild aphasia. Hypersomnia may have several causes, and idiopathic hypersomnia is especially difficult to diagnose. hypersomnia is at times referr ed to as tiredness or fatigue. ICD Code F51.1 is a non-billable code. Upon completion of this activity, participants will: Have increased knowledge regarding the. Also, unlike narcolepsy, naps in idiopathic hypersomnia are usually not refreshing. Only worn once. It tests for excessive daytime sleepiness by studying how fast you fall asleep. This can be either in the form of recurrent episodes of excessive daytime sleepiness or prolonged night sleep. Recently Crowned by Face of The Globe 2016 (London and Paris) - pls see honours and awards for … Read on main symptoms, causes and treatment options. The 2022 edition of ICD-10-CM G47.11 became effective on October 1, 2021. Idiopathic Hypersomnia – naps are unrefreshing, no sleep-onset REM, sleep drunkenness after awakening, sleep more than 10-11 hours a day, deep sleep, slower thought processes, loss of appetite, irritability/mood swings, and un-refreshing sleep. Hypersomnia affects four to six percent of the population. The MSLT is a tool currently used to help in the diagnostic process for narcolepsy and idiopathic hypersomnia. A patient with hypersomnia can readily fall asleep during the day, usually in less than eight minutes. Central = Neurologic, or related to how the brain works. Hypersomnia is a neurological disorder of excessive time spent sleeping or excessive sleepiness. If you have hypersomnia, you fall asleep several times during the day. Treatment is prescribed only after the initial admission diagnosis, based on the results of the tests. 3/4 length sleeves. Most common symptoms: Constant complaint of excessive daytime sleep or sleepiness One feels the need to take repeated naps at inappropriate times such as while working, eating or even in the middle of conversations. Hypersomnia = A condition that causes you to feel very sleepy during the day and/or makes you need excessive amounts of sleep. After that I feel more rested. Hypersomnolence due to central nervous system (CNS) disorders. City Chic Women's Trendy Plus Size Cropped Wide-Leg Pants Black I went in for a sleep study and was diagnosed two months later with If you have hypersomnia, you may: regularly nap during the day and not feel refreshed. Diagnosis of Hypersomnia. You can initially try fixing your hypersomnia by making some lifestyle changes. Posted by 5 years ago. Excessive daytime sleepiness is different from feeling tired all the time. この眠気症状には、前触れなく起こる日中の睡眠発作や、制御不能な眠気、長時間続く持続的な眠気など、さまざまな感じ方があります。. There are 2 tools that can help you monitor your IH over time. Idiopathic hypersomnia is defined by the presence or absence of long sleep time (i.e., more than 10 hours). They may also have other sleep -related problems, including a lack of energy and trouble thinking clearly. What Is Idiopathic Hypersomnia? The 2022 edition of ICD-10-CM G47.1 became effective on October 1, 2021. A doctor will discuss a patient’s medical history including their sleep habits. There is no single universal treatment for people with idiopathic hypersomnia. Hypersomnia is sometimes treated with stimulants such as amphetamine, methylphenidate, or modafinil. Though its symptoms can be common, a formal diagnosis of hypersomnia is relatively infrequent. 40 length. A MSLT immediately follows an overnight polysomnogram (PSG). Idiopathic hypersomnia is a sleep disorder that causes you to be excessively sleepy during the day and to have trouble waking up from sleep. Treatment. I typically need 10 hours. People who have hypersomnia can fall asleep at any time; for instance, at work or while they are driving. Several symptoms are listed, but briefly, EDS is characterized by a feeling of being sleepy and having trouble staying awake for … The pathophysiology of idiopathic hypersomnia is not well understood, and diagnosis requires exclusion of other more common causes of excessive sleepiness. 診断テストと治療法まとめ. While the sleep disorder narcolepsy is commonly known and studied, its close cousin, idiopathic hypersomnia, is often overlooked and more challenging to … Having the symptoms for at least 3 … Hypersomnia is a neurological disorder of excessive time spent sleeping or excessive sleepiness.It can have many possible causes (such as seasonal affective disorder) and can cause distress and problems with functioning. Primary hypersomnia includes diagnoses such as narcolepsy , idiopathic hypersomnia, and Klein-Levin syndrome (recurrent hypersomnia). Hypersomnia, in this article's context, includes reduced sleep latency, excessive duration of sleep at night, and excessive daytime sleepiness (EDS).

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