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The sleepy teenager: diagnostic challenges OCR V26
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Neurology. Linkoping Univ, Div Neurol, Dept Clin & Expt Med, IKE,Cty Council, Linkoping, Sweden; Linkoping Univ, Cty Council, IMM,Neurol Unit, Dept Med Specialties, Motala, Sweden; Linkoping Univ, Dept Med & Hlth Sci, Div Radiol Sci, Linkoping, Sweden.
Linkoping Univ, Dept Med & Hlth Sci, Div Radiol Sci, Linkoping, Sweden.
2014 (English)In: Frontiers in Neurology, ISSN 1664-2295, E-ISSN 1664-2295, Vol. 5, 140Article in journal (Refereed) Published
Abstract [en]

The sleepy teenager puts the doctor in a, often tricky, situation where it must be decided if we deal with normal physiology or if we should suspect pathological conditions. What medical investigations are proper to consider? What differential diagnoses should be considered in the first place? And what tools do we actually have? The symptoms and problems that usually are presented at the clinical visit can be both of medical and psychosocial character - and actually they are often a mixture of both. Subsequently, the challenge to investigate the sleepy teenager often includes the examination of a complex behavioral pattern. It is important to train and develop diagnostic skills and to realize that the physiological or pathological conditions that can cause the symptoms may have different explanations. Research in sleep disorders has shown different pathological mechanisms congruent with the variations in the clinical picture. There are probably also different patterns of involved neuronal circuits although common pathways may exist. The whole picture remains to be drawn in this interesting and challenging area.

Place, publisher, year, edition, pages
2014. Vol. 5, 140
Keyword [en]
adolescent, narcolepsy, hypersomnia, delayed sleep phase syndrome, computer gaming, fatigue, cognition disorders, Kleine-Levin syndrome
National Category
Neurology
Identifiers
URN: urn:nbn:se:uu:diva-238768DOI: 10.3389/fneur.2014.00140ISI: 000209629300135PubMedID: 25136329OAI: oai:DiVA.org:uu-238768DiVA: diva2:772112
Available from: 2014-12-16 Created: 2014-12-16 Last updated: 2017-12-05Bibliographically approved

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Landtblom, Anne-Marie

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