Re: case history Y99 posted 3/15/98

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Posted by Dr. Wexler on March 18, 1998 at 21:13:06:

In Reply to: case history Y99 posted 3/15/98 posted by DrYelamanchili on March 15, 1998 at 17:26:04:

the workup looks pretty good; I would be
looking at idiopathic hypersomnia as the
diagnosis. (he hasn't got a protozoan sleeping
sickness does he?)
treatment to include: good sleep hygiene, safety
counceling, trial of stimulants--> may start with Cylert,
then methylphenidate. Probably should manage his
mild OSA (there may be some additional non-apneic
snore arousals in there...)
Better keep close followup initially until
stabilized.

Thanks for the case -- what is your approach?

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