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The test is based on the idea that the sleepier people are, the faster they will fall asleep. [15] [16] The Maintenance of Wakefulness Test (MWT) is also used to quantitatively assess daytime sleepiness. This test is performed in a sleep diagnostic center. The test is similar to the MSLT as it also relies on a measurement of initial sleep latency.
Narcolepsy can occur in both men and women at any age, although typical symptom onset occurs in adolescence and young adulthood. There is about a ten-year delay in diagnosing narcolepsy in adults. [25] Cognitive, educational, occupational, and psychosocial problems associated with the excessive daytime sleepiness of narcolepsy have been documented.
narcolepsy, periodic limb movement disorder, restless legs syndrome, obstructive sleep apnea, central sleep apnea syndrome, sleep state misperception, psychophysiologic insomnia, recurrent hypersomnia, post-traumatic hypersomnia, central alveolar hypoventilation syndrome, Extrinsic sleep disorders – 13 disorders recognized, including [1]: 16
Idiopathic hypersomnia, a primary, neurologic cause of long-sleeping, sharing many similarities with narcolepsy. [83] Insomnia disorder (primary insomnia), chronic difficulty in falling asleep or maintaining sleep when no other cause is found for these symptoms. Insomnia can also be comorbid with or secondary to other disorders.
The test is based on subjectivity and therefore may not be accurate when factors such as: the test takers opinions on their sleep, how others view their sleepiness, education level, and others are considered. [11] The test can be biased as pre-emptive discussion of results can have an effect on the responses while the test is being taken. [4]
Primary vs. secondary (i.e. comorbid) insomnia has been reunited into a single disorder: chronic insomnia. Narcolepsy has been divided into narcolepsy type 1 and narcolepsy type 2. These two types are distinguished by the presence or absence of cataplexy and the cerebrospinal fluid hypocretin-1 level.