Abstract
The list of conditions that cause hypersomnolence is extensive. As such, an algorithm is a useful tool, as it provides an efficient, comprehensive approach to navigating the hypersomnolence evaluation. The choice of testing modality rests heavily on a detailed history, physical examination and use of validated questionnaires. Early consideration focuses on common causes of hypersomnolence, including insufficient sleep, sedating medications and sleep-disordered breathing. However, the diagnosis may remain elusive or sleepiness may persist despite treatment. At that point, the remaining disorders of central hypersomnolence are considered including common medical and psychiatric conditions, and also rare disorders, such as narcolepsy.
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