#vadisabilityclaims #vadisabilityrating #hypersomnolence #sleepapnea
Suffer from Hypersomnolence. The question is will the VA rate me for sleep apnea if I am diagnosed and deal with hypersomnolence, but I’m not prescribed a CPAP machine? Good question!
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Attention Deficit Hyperactivity Disorder, or ADHD, is something that troubles both the affected children and their families. But looking deeper into the child’s nighttime behavior may yield surprising results.
You might find you’re child’s wild behavior during the day is linked to problems at night.
“About 50% of children with ADHD also have a sleep disorder and having a sleep disorder can directly give symptoms of ADHD,” says Dr. Jose Colon.
Dr. Colon is a pediatric neurologist and sleep specialist with the Children’s Hospital of Southwest Florida.
“If you’re treating ADHD but you’re not addressing the sleep disorder then you’re not gonna get maximum affect for the medications.”
It might surprise parents to learn and estimate 3% of the pediatric population has sleep apnea; a condition where they briefly stop breathing. Sleep apnea and chronic sleep deprivation both affect the brain’s frontal lobe.
“The frontal lobe is the part of the brain that we use for attention. The ADHD medications primarily work with the frontal lobe. I have had multiple patients that in treating a sleep disorder their attention problems have dramatically improved,” says Dr. Colon.
Other times a child will have a limb movement disorder that fragments their sleep.
“Interestingly some studies have taken children diagnosed with periodic limb movement disorder and 75 percent of those kids can have daytime ADHD symptoms,” says Dr. Colon.
The gold standard in diagnosing a sleep disorder is to undergo a sleep study. In the same way adults are monitored through the night, children can go to the sleep lab too. It may spark a new day in their treatment.
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Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we’ve been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries.
Visit www.leememorial.org/caring Video Rating: / 5
Dr. Schuyler VanDyke from our TMJ & Sleep Therapy Centre of Montana explains the link between Sleep Disorders and ADHD.
Find a TMJ & Sleep Therapy Centre in your area: https://tmjtherapycentre.com/centre-directory-geo-location/ Video Rating: / 5
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Anne Marie Morse, DO, FAASM, Geisinger Medical Center, Danville, PA, briefly discusses the results of a post-hoc analysis investigating the effects of lower-sodium oxybate treatment in individuals with idiopathic hypersomnia. Dr Morse explains that there was a reduction in the need for excessive sleep time in these individuals, allowing them to gain some hours back in their day and achieve more of a normal life experience. This interview took place during the World Sleep Congress 2022 in Rome, Italy. Video Rating: / 5
VA ratings for insomnia can range from 0% to 100%, depending on the severity of the condition. Although there is no cure for insomnia, there are treatments that can help improve sleep quality and reduce symptoms.
If veterans can prove that their military service caused or aggravated their insomnia, their insomnia can be considered service-connected. Veterans also seek service connection for insomnia as a secondary cause. According to the schedule of mental disorders, insomnia is often a component of a psychological condition. Therefore, if a veteran has service-connected PTSD, they may also be able to obtain service connection for insomnia.
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Professor Matthew Walker, expert neurologist, discusses the causes of sleep disorders such as narcolepsy, and what people can do to improve their quality of sleep.
If you’re worried about your sleeping patterns, you can find out more about Professor Walker and his work, and how to book an appointment here: www.topdoctors.co.uk/doctor/matthew-walker
In Part II of this interview, Emmanuel Mignot, MD, PhD, Director of the Stanford Center for Sleep Sciences and Medicine at Stanford University speaks with Julie Flygare, JD, President & CEO of Project Sleep, to discuss the narcolepsy research field’s re-thinking of the classifications of type 2 narcolepsy without cataplexy and idiopathic hypersomnia.
This is part II a longer interview available here: https://youtu.be/UhTpNK8vvqk
Recorded on Thursday, April 23, 2020
Dr. Emmanuel Mignot is Professor of Psychiatry and Behavioral Sciences at Stanford University. He received his M.D. and Ph.D. from Paris V and VI University in France. Dr. Mignot is internationally recognized for discovering the cause of narcolepsy. He has received numerous research grants and honors and is the co-author of more than 200 original scientific publications. Most of Dr. Mignot’s current research focuses on the neurobiology, genetics and immunology of narcolepsy, a disorder caused by hypocretin (orexin) cell loss, with indirect interest in the neuroimmunology of other brain disorders. His laboratory uses state of the art human genetics techniques, such as genome wide association, exome or whole genome sequencing in the study of human sleep and sleep disorders, with parallel studies in animal models. His laboratory is also interested in web-based assessments of sleep disorders, computer-based processing of polysomnography (PSG), and outcomes research.
Julie Flygare, J.D. is the President & CEO of Project Sleep and award-winning author of Wide Awake and Dreaming: A Memoir of Narcolepsy. After receiving a diagnosis of narcolepsy with cataplexy in 2007, Flygare advanced her leadership in the sleep and healthcare space through speaking engagements, publications, earned media, collaborations, and advocacy and awareness initiatives. In 2013, Flygare founded Project Sleep as a national non-profit organization dedicated to raising awareness about sleep health and sleep disorders. In her current role, she aims to empower a new generation of speakers, writers, patient advocates and community leaders in the sleep space. She is the co-creator of the first-ever scholarship program for students with narcolepsy, along with the Rising Voices of Narcolepsy℠ leadership training program. Flygare received her B.A. from Brown University and her J.D. from Boston College Law School, focusing on health law and policy.
This video is brought to you by Project Sleep, a 501(c)(3) non-profit organization dedicated to raising awareness of sleep health and sleep disorders. Project Sleep’s current programming includes the Rising Voices of Narcolepsy℠ leadership training program, the Jack & Julie Narcolepsy Scholarship, Narcolepsy: Not Alone®, the Sleep In campaign, and national sleep advocacy efforts. Learn more: http://project-sleep.com/
Note: This event is for educational purposes and not intended to be a substitute for professional medical advice. Should you have personal healthcare-related questions, please contact your sleep specialist or a qualified health provider.
0:00 Introduction
0:50 causes of Hypersomnolence
1:42 symptoms of Hypersomnolence
2:34 diagnosis of Hypersomnolence
3:03 Treatment of Hypersomnolence
• Hypersomnolence is a condition where a person experiences significant and extended episodes of sleepiness, even after getting around 7 hours of good sleep.
• It causes excessive sleepiness and somnolence during the daytime, as well as hypersomnia.
• Often, hypersomnolence indicates the presence of another underlying condition.
• The condition can interfere with a person’s daily activities and can prove to be dangerous while driving.
• Symptoms of hypersomnolence typically arise when people are between 17 and 24 years old.
• The condition has to be treated quickly as otherwise, it can negatively affect a person for their entire life.
• Let’s look at hypersomnolence in detail and find out how you can deal with it:
Causes
• The exact cause of hypersomnolence is not currently known, with experts continuing research into how changes in the brain could be responsible.
• An increase in brain chemicals that cause sleepiness is generally believed to be responsible for the condition.
• The key chemical here is y-aminobutyric acid (GABA), which is also present in sedatives.
• Further risk factors associated with hypersomnolence are:
1. Family history of hypersomnolence
2. Excessive stress
3. Excessive alcohol consumption
4. History of viral infection
5. History of head trauma
6. History of depression, bipolar disorder, substance abuse, Parkinson’s disease, or Alzheimer’s disease
Symptoms
• Excessive sleepiness or sleeping is the primary symptom of hypersomnolence.
• You will tend to feel sleepy even if you get around 7 hours of sleep daily.
• Other symptoms you might experience are:
1. Napping to deal with the sleepiness not working
2. Unknowingly falling asleep several times during a day
3. Finding it difficult to wake up
4. Not feeling rested even after 9 hours of sleep
5. Feeling aggressive or confused after waking up
• Symptoms of hypersomnolence are similar to another sleeping disorder known as narcolepsy.
• However, bouts of sleepiness caused by narcolepsy tend to show up suddenly – whereas they occur more gradually in hypersomnolence.
Diagnosis
• A hypersomnolence diagnosis starts by testing for other sleep disorders.
• All other disorders are ruled out before settling on hypersomnolence as the condition causes excessive sleeping in a patient.
• A doctor will review your medical history, any medication you are taking, your sleep and work environment, and carry out a sleep study.
• All of this will help them categorically rule out other sleep disorders and confirm a hypersomnolence diagnosis.
Treatment
• Hypersomnolence is treated with stimulants, such as:
1. Methylphenidate
2. Amphetamine
3. Modafinil
• Along with this, you might have to take other medications, such as antidepressants, levodopa, clonidine, and bromocriptine. Video Rating: / 5
