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KMID : 1101120220190030139
Journal of Sleep Medicine
2022 Volume.19 No. 3 p.139 ~ p.145
The Grey Zone in Multiple Sleep Latency Test for Diagnosis of Narcolepsy: A Survey of Korean Neurologist
Im Hee-Jin

Hong Yoo-Ha
Cho Jae-Wook
Sunwoo Jun-Sang
Kim Dae-Young
Koo Dae-Lim
Yim Soo-Hwan
Kim Hye-Yun
Kim Kyung-Min
Jung Yu-Jin
Yang Kwang-Ik
Abstract
Objectives: Clinicians often depend on the results of the the multiple sleep latency test (MSLT) for diagnosing narcolepsy, but the diagnosis can be confusing when there is a co-existence of obstructive sleep apnea (OSA). This study is aimed to address the diagnostic tendency and the strategies of treatment for narcolepsy and other hypersomnia in the grey zone.

Methods: We performed a web-based survey of Korean neurologists who were interested in narcolepsy and had experience with sleep studies.

Results: The results of this survey present their concerns according to the severity of comorbid OSA in analyzing the results of the MSLT.

Conclusions: This study also might help by providing the opinions of experienced Korean neurologists for the assessment and management of excessive daytime sleepiness.
KEYWORD
Narcolepsy, Excessive daytime sleepiness, Multiple sleep latency test, Sleep onset REM periods, Obstructive sleep apnea
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