Journal ArticleDOI
Hypersomnia with "sleep drunkenness".
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TLDR
Of 58 cases of hypersomnia with sleep drunkenness examined, 52 were apparently idiopathic; six cases were possibly symptomatic of organic brain disturbance, and except for extended sleep, no anomalies of sleep patterns were observed.Abstract:
Sleep drunkenness (SD) consists of difficulty in coming to complete wakefulness accompanied by confusion, disorientation, poor motor coordination, slowness, and repeated returns to sleep. Patients report that these symptoms occur at almost every awakening; nearly all report abnormally ``deep'' and prolonged sleep as well. Approximately one third of all hypersomniacs seen suffered from sleep drunkenness. Of 58 cases of hypersomnia with sleep drunkenness examined, 52 were apparently idiopathic; six cases were possibly symptomatic of organic brain disturbance. A familial history of the disorder was found in 36% of the idiopathic cases. Electroencephalographic abnormalities were not remarkably prevalent or distinctive. Except for relatively high heart and respiratory in nocturnal polygraphic records, and except for extended sleep, no anomalies of sleep patterns were observed.read more
Citations
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Hyperarousal and insomnia
Michael H. Bonnet,Donna L. Arand +1 more
TL;DR: Evidence is presented which supports the contention that primary insomniacs suffer from a disorder of hyperarousal and that the elevated arousal produces the poor sleep and other symptoms reported by patients.
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REM sleep parasomnias.
TL;DR: The three states of mammalian being--wakefulness, REM sleep, and NREM sleep--are not mutually exclusive and may occur simultaneously, oscillate rapidly, or appear in dissociated or incomplete form to produce primary sleep parasomnias.
Journal ArticleDOI
More than a marker: interaction between the circadian regulation of temperature and sleep, age-related changes, and treatment possibilities
TL;DR: This paper proposes that the circadian temperature rhythm provides an additional signaling pathway for the circadian modulation of sleep and wakefulness and reviews the relation among body temperature, arousal state, and the circadian timing system.
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Idiopathic hypersomnia : A series of 42 patients
TL;DR: Stimulants are often beneficial and spontaneous improvement appears to be more common in patients with idiopathic hypersomnia than in narcolepsy, which is a rare syndrome in which clinical heterogeneity suggests a variable or multifactoral pathogenesis.
Journal ArticleDOI
Evidence for genetic influences on sleep disturbance and sleep pattern in twins.
TL;DR: There was no evidence for a decline in the importance of genetic predisposition with age and short-term environmental fluctuations accounted for as much as 30% of the variance, and more stable nonfamilial environmental effects accounted for the remainder.
References
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Journal ArticleDOI
Psychological and physiological differences between good and poor sleepers.
TL;DR: In this article, the authors compared the sleeping patterns of 16 poor and 16 good sleep groups and found that poor sleep groups had less sleep time, more awakenings, and required more time to fall asleep.
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Nocturnal sleep of narcoleptics.
Allan Rechtschaffen,Allan Rechtschaffen,Edward A. Wolpert,Edward A. Wolpert,William C. dament,William C. dament,Stephan A. Mitchell,Stephan A. Mitchell,Charles Fisher,Charles Fisher +9 more
TL;DR: The narcoleptics had stage 1 rapid eye movement (REM) periods at sleep onset rather than approximately 90 min after sleep onset as most subjects do, interpreted as suggesting that narcoLEptics are susceptible to “precocious triggering” of the pontine reticular formation.
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The nature of the narcoleptic sleep attack.
TL;DR: For many years, narcolepsy has been regarded as a sleep abnormality and it is assumed that knowledge pertaining to normal sleep mechanisms will aid in understanding the pathophysiology of the illness.
Journal ArticleDOI
Effects of evening activity on early night sleep
TL;DR: The results support Bulow's (1963) proposal that a close coupling exists between respiratory centers and those neural structures that regulate EEG arousal and indicate a surprising stability of the sleep stage cycle vis a vis the markedly different evening activities.
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Sleep cycle during napping.
TL;DR: Although reports of dreaming are sometimes elicited on awakenings from NREM sleep, the frequency of such reports is less than the frequency for REM period awakenings, and the quality of these reports are less "dream-like" than thequality of REM period reports.