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Dyssomnias are primary disorders of initiating or maintaining sleep or of excessive sleepiness and are characterized by a disturbance in the amount, quality, or timing of sleep. Patients may complain of difficulty getting to sleep or staying asleep, intermittent wakefulness during the night, early morning awakening, or combinations of any of these.
Rhythmic movement disorder (RMD) is a neurological disorder characterized by repetitive movements of large muscle groups immediately before and during sleep often involving the head and neck. It was independently described first in 1905 by Zappert as jactatio capitis nocturna and by Cruchet as rhythmie du sommeil . [ 1 ]
sleeping off and on in a series of naps during the day and at night, with no regular pattern but with normal total sleep time, difficulty getting restorative sleep, and; excessive daytime sleepiness. [6] [7] Because of the changes in sleep/wake time, and because this is a rare disorder, initially it can seem like another circadian rhythm sleep ...
Though quite limited in terms of the total number of DSPD patients studied, such data seem to contradict the notion that DSPD is merely a disorder of sleep timing, rather than a disorder of the sleep system itself. [25] People with normal circadian systems can generally fall asleep quickly at night if they slept too little the night before.
Advanced Sleep Phase Disorder (ASPD), also known as the advanced sleep-phase type (ASPT) of circadian rhythm sleep disorder, is a condition that is characterized by a recurrent pattern of early evening (e.g. 7-9 PM) sleepiness and very early morning awakening (e.g. 2-4 AM).
A circadian rhythm is an entrainable, endogenous, biological activity that has a period of roughly twenty-four hours. This internal time-keeping mechanism is centralized in the suprachiasmatic nucleus (SCN) of humans, and allows for the internal physiological mechanisms underlying sleep and alertness to become synchronized to external environmental cues, like the light-dark cycle. [4]
A 29-year-old man’s debilitating night terrors were the first sign of rare autoimmune disorder that rapidly progressed, landing him in the intensive care unit in a “catatonic state.”
Though often referred to as non-24, for example by the FDA, [30] the disorder is also known as: non-24-hour sleep–wake syndrome or disorder, [3] free-running disorder (FRD), [citation needed] hypernychthemeral syndrome, [31] hypernychthemeral sleep-wake cycle disturbance, [32] circadian rhythm sleep disorder—free-running type or ...
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