These article introduces the clinical approach to the diagnosis and management of the sleep onset insomnia that can be caused by the various possibilities, such as PPI, SSM, PLMS, RLS, DSPS, OSAS, and CHF. After these studies, the most appropriate treatments are adjusted including sleep hygiene education, cognitive behavior therapy, pharmacologic therapy, continuous positive airway pressure titration, and surgery, etc. This kind of insomnia (sleeplessness) is different from initial or sleep-onset insomnia, which consists of having difficulty falling asleep at the beginning of sleep. For more accurate evaluation, polysomnography (PSG), multiple sleep latency test (MSLT), neuropsychological test (NP test), and suggested Immobilization Test (SIT) can be necessary to these patients. Middle-of-the-night insomnia (MOTN) is characterized by having difficulty returning to sleep after waking up during the night or very early in the morning. If you live with insomnia, you may: find it difficult to fall asleep, stay asleep, or both wake up from several hours of sleep. They result in complaints of insomnia or sleep state misperception and have significant decreased daily activities and impaired cognitive functions. What is insomnia Insomnia refers to a type of sleep disorder. These patients are characterized by frequent arousals or failing to get to sleep in the early sleep stage and don’t feel refreshed in the morning. Sleep onset insomnia: Dizziness, somnolence, fatigue, nausea, exacerbation of insomnia, hallucinations: NA (52) Although antihistamines, such as diphenhydramine (Benadryl), are widely used for. Usually, many patients have various causes or conditions such as psychophysiological insomnia (PPI), periodic limb movements in sleep (PLMS), restless legs syndrome (RLS), obstructive sleep apnea-hypopnea syndrome (OSAS), congestive heart failure (CHF), delayed sleep phase syndrome (DSPS), etc. Although these sleep onset insomnia has generally been attributed to psychological or psychiatric causes, it can also be secondary to a medical, circardian, or sleep disorder. Sleep onset insomnia, defined as difficulty initiating asleep, is a common disorder with associated impairment or significant distress and is associated with daytime consequences. Seung Bong Hong ,Tel: +82-2-3410-3592, Fax: +82-2-3410-0052, Email: DecemAccepted: DecemPublished online: December 31, 2009 Experts define sleep-onset insomnia as having trouble falling asleep after initially going to bed. Sporadic Fatal Insomnia is a type of prion disease and it is neurodegenerative, and as yet there is no treatment for this condition. 1 While sleep-onset insomnia primarily causes symptoms in the beginning of the night, other types of insomnia strike at other times. This sleep disorder often affects your physical and mental functioning. Hwan Seok Park 1, Eun Yeon Joo 2, Seung Bong Hong 2ġDepartment of Neurology, Inje University College of Medicine, Busan, Korea 2Department of Neurology, Sleep Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Experts define sleep-onset insomnia as having trouble falling asleep after initially going to bed.
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