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Idiopathic Hypersomnia

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Sleep Medicine

Abstract

More than half a century ago, Prof. Roth recognized a leading symptom of idiopathic hypersomnia—sleep drunkenness—and described the first patients with prolonged nocturnal sleep accompanied by excessive daytime sleepiness with long unrefreshing naps and protracted and difficult awakening. The term idiopathic hypersomnia was given a variety of clinical labels including idiopathic central nervous hypersomnia or hypersomnolence, functional hypersomnia, mixed or harmonious hypersomnia, hypersomnia with automatic behavior, and nonrapid eye movement (REM) narcolepsy. Two different clinical forms recommended by Prof. Roth—polysymptomatic and monosymptomatic—disappeared for decades. Thanks to Prof. Billiard’s unflagging effort, two forms—idiopathic hypersomnia with long and without long sleep time—reappeared in the latest International Classification of Sleep Disorders, second edition (ICSD-2) classification. However, the biological background of these clinical entities remains unknown, and much effort is needed to shed more light on its pathophysiology.

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References

  1. Furukawa T. Heinrich Bruno Schindler’s description of narcolepsy in 1829. Neurology. 1987;37:146.

    Article  Google Scholar 

  2. Roth B. Sleep drunkenness and sleep paralysis [in Czech]. Ceskoslovenska Neurol. 1956;19:48–58.

    CAS  Google Scholar 

  3. Roth B. Narcolepsy and hypersomnia: from the aspect of sleep physiology [in Czech]. Praha: Stat. Zdrav. Naklad; 1957.

    Google Scholar 

  4. Aserinsky E, Kleitman N. Regularly occurring periods of eye motility and concomitant phenomena during sleep. Science. 1953;118:273–74.

    Article  CAS  PubMed  Google Scholar 

  5. Aserinsky E, Kleitman N. Two types of ocular motility occurring in sleep. J Appl Physiol. 1955;8:1–10.

    CAS  PubMed  Google Scholar 

  6. Dement WC, Kleitman N. Cyclic variation in EEG during sleep and their relation to eye movement, body motility, and dreaming. Electroencephalogr Clin Neurophysiol. 1957;9:673–90.

    Article  CAS  PubMed  Google Scholar 

  7. Dement WC, Rechtschaffen A, Gulevich G. The nature of the narcoleptic sleep attack. Neurology. 1966;16:18–33.

    Article  CAS  PubMed  Google Scholar 

  8. Rechtschaffen A, Roth B. Nocturnal sleep of hypersomniacs. Activ Nerv Sup.1969;11:229–33.

    Google Scholar 

  9. Roth B, Nevsimalova S, Rechtschaffen A. Hypersomnia with sleep drunkenness. Arch Gen Psych. 1972;26:456–62.

    Article  CAS  Google Scholar 

  10. Roth B., Bruhova S, Lehovsky M. REM sleep and NREM sleep in narcolepsy and hypersomnia. Electroenceph Clin Neurophysiol. 1969;26:176–82.

    Google Scholar 

  11. Roth B, Bruhova S. Dreams in narcolepsy, hypersomnia and dissociated sleep disorders. Exp Med Surg. 1969;27:187–209.

    Google Scholar 

  12. Bonkalo J. Hypersomnia. A discussion of psychiatric implications based on three cases. Brit J Psychiat. 1968;114:69–73.

    Google Scholar 

  13. Nevsimalova-Bruhova S, Roth B. Heredofamilial aspects of narcolepsy and hypersomnia. Schweiz Arch Neurol Psychiat. 1972;110:45–54.

    Google Scholar 

  14. Nevsimalova-Bruhova S. On the problem of heredity in hypersomnia, narcolepsy and dissociated sleep disturbances. Acta Univ Carol Med. 1973;18:109–60.

    Google Scholar 

  15. Roth B. Narcolepsy and hypersomnia. Review and classification of 642 personally observed patients. Schweiz Arch Neurol Neurochir Psychiat. 1976;119:31–41.

    Google Scholar 

  16. Association of Sleep Disorders Centers. Diagnostic classification of sleep and arousal disorders, first edition, prepared by the Sleep Disorders Classification Committee, HP. Roffwarg, Chairman. Sleep. 1979;2:1–137.

    Google Scholar 

  17. Roth B. Narcolepsy and hypersomnia. Basel: S. Karger; 1980.

    Google Scholar 

  18. Roth B, Nevsimalova S, Sagova V, Paroubkova D, Horakova A. Neurological, psychological and polygraphic findings in sleep drunkenness. Schweiz Arch Neurol Neurochir Psychiatr. 1981;129:209–22.

    Google Scholar 

  19. van den Hoed J, Kraemer H, Guilleminault C, Zarcone VP Jr., Miles LE, Dement WC et al. Disorders of excessive daytime somnolence: polygraphic and clinical data for 100 patients. Sleep. 1981;4:23–37.

    Google Scholar 

  20. Baker TL, Guilleminault C, Nino-Murcia G, Dement WC. Comparative polysomnographic study of narcolepsy and idiopathic central nervous system hypersomnia. Sleep. 1986;9:232–42.

    Google Scholar 

  21. Montplaisir J, Godbout R. Nocturnal sleep of narcoleptic patients: revisited. Sleep. 1986;9:159–61.

    Google Scholar 

  22. Poirier G, Montplaisir J, Decary F, Momege D, Lebrun A. HLA antigens in narcolepsy and idiopathic central nervous system hypersomnolence. Sleep. 1986;9:153–8.

    Google Scholar 

  23. Honda Y, Juji T, Matsuki K, Naohara T, Satake M, Inko H et al. HLA-DR2 and Dw2 in narcolepsy and in other disorders of excessive somnolence without cataplexy. Sleep. 1986;9:133–42.

    Google Scholar 

  24. , Thorpy MJ (Chairman), Diagnostic Classification Steering Committee. International classification of sleep disorders: diagnostic and coding manual. Rochester: American Sleep Disorders Association; 1990.

    Google Scholar 

  25. Guilleminault C, Stoohs R, Clerk A, Cetel M, Maistros P. A cause of excessive daytime sleepiness. The upper airway resistance syndrome. Chest. 1993;104:781–7.

    Google Scholar 

  26. Aldrich MS. The clinical spectrum of narcolepsy and idiopathic hypersomnia. Neurology. 1996;46:393–401.

    Google Scholar 

  27. Bassetti C, Aldrich MS. Idiopathic hypersomnia. A series of 42 patients. Brain. 1997;120:1423–35.

    Google Scholar 

  28. Bruck D, Parkes JD. A comparison of idiopathic hypersomnia and narcolepsy-cataplexy using self report measures and sleep diary data. J Neurol Neurosurg Psychiat. 1996;60:576–8.

    Google Scholar 

  29. Billiard M. Idiopathic hypersomnia. Neurol Clin. 1996;14:573–2.

    Google Scholar 

  30. Billiard M, Dolenc L, Aldaz C, Ondze B, Besset A. Hypersomnia associated with mood disorders: a new perspective. J Psychosom Res. 1994;38 (Suppl.1):41–7.

    Google Scholar 

  31. Billiard M, Merle C, Carlander B, Ondze B, Alvarez D, Besset A. Idiopathic hypersomnia. Psychiatr Clin Neurosci. 1998;52:125–9.

    Google Scholar 

  32. Billiard M, Rondouin G, Espa F, Dauvilliers Y, Besset A. Physiopathologie de l´hypersomnie idiopathique. Données actuelles et nouvelles orientations. Rev Neurol (Paris). 2001;157:S101–6.

    Google Scholar 

  33. Billiard M. Diagnosis of narcolepsy and idiopathic hypersomnia. An update based on the International classification of sleep disorders. 2. Sleep Med Rev. 2007;11:378–88.

    Google Scholar 

  34. American Academy of Sleep Medicine. International classification of sleep disorders, 2nd ed.: Diagnostic and coding manual. Westchester, Illinois, American Academy of Sleep Medicine; 2005.

    Google Scholar 

  35. Vernet C, Arnulf I. Narcolepsy with long sleep time: a specific entity? Sleep. 2009;32:1229–35.

    Google Scholar 

  36. Vernet C, Arnulf I. Idiopathic hypersomnia with and without long sleep time: a controlled series of 75 patients. Sleep. 2009;32:753–9.

    Google Scholar 

  37. Nevsimalova S., Blazejova K, Illnerova H, Hajek I, Vankova J, Pretl M. et al. A contribution to pathophysiology of idiopathic hypersomnia. In: Ambler Z, Nevsimalova S, Kadanka Z, Rossini PM, editors. Clinical neurophysiology at the beginning of the 21st century; Suppl Clin Neurophysiol. 2000;53:366–70.

    Google Scholar 

  38. Billiard M, Dauvilliers Y. Idiopathic hypersomnia. Sleep Med Rev. 2001;5:349–58.

    Google Scholar 

  39. Vernet C, Leu-Semenescu S, Buzare MA, Arnulf I. Subjective symptoms in idiopathic hypersomnia: beyond excessive sleepiness. J Sleep Res. 2010;19:525–34.

    Google Scholar 

  40. Sasai T, Inoue Y, Komada Y, Sugiura T, Matsushima E. Comparison of clinical characteristics among narcolepsy with and without cataplexy and idiopathic hypersomnia without long sleep time, focusing on HLA-DRB1(*)1501/DQB1(*)0602 finding. Sleep Med. 2009;10:961–6.

    Google Scholar 

  41. Billiard M. From narcolepsy with cataplexy to idiopathic hypersomnia without long sleep time. Sleep Med. 2009;10:943–4.

    Google Scholar 

  42. Billiard M. Idiopathic hypersomnia. In: Thorpy MJ, Billiard M, eds. Sleepiness: causes, consequences and treatment. Cambridge: Cambridge University Press; 2011, pp.126–35.

    Google Scholar 

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Correspondence to Sona Nevsimalova MD, DSc .

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Nevsimalova, S. (2015). Idiopathic Hypersomnia. In: Chokroverty, S., Billiard, M. (eds) Sleep Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2089-1_27

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  • DOI: https://doi.org/10.1007/978-1-4939-2089-1_27

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