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What Is Important To Know About Hypersomnia?

Sandeep Dhanyamraju MD
Medically reviewed by Sandeep Dhanyamraju
Sandeep Dhanyamraju MD
Medically reviewed by Sandeep Dhanyamraju

Hypersomnia is a disorder characterized by a significant increase in sleep duration and bouts of daytime sleepiness. Hypersomnia is often caused by: 

  • lack of sleep and severe fatigue;
  • it can be a consequence of taking medications;
  • a symptom of narcolepsy or mental disorders;
  •  trauma and brain damage, and a number of somatic diseases prolonged night sleep (more than 10 hours);
  • manifestations of persistent or paroxysmal daytime sleepiness;
  • continuation of the negative state of the body even after sleeping during the day;
  • difficulty waking up or its long duration, often accompanied by a symptom of sleep intoxication.

It is important to consider that each person’s rate of sleep duration is unique and varies within 5-12 hours. And when hypersomnia is diagnosed, a person’s sleep indicators are taken into account for the periods before the onset of the disorder. In addition, it is essential to distinguish hypersomnia from increased daytime sleepiness caused by lack of sleep due to insomnia or prevailing circumstances.

In medical practice, patients’ treatment of hypersomnia is required much more often than the treatment of insomnia. Moreover, patients often simply do not notice the appearance of a disorder until it is identified with the help of a test. At our Lone Star Neurology clinic, the doctors with extensive experience are ready to help you. Do not postpone the appointment, contact us to avoid complications.

Idiopathic Hypersomnia

Sometimes hypersomnia can develop without a known cause; this condition is called idiopathic hypersomnia

  • Idiopathic hypersomnia is currently regarded as a heterogeneous disease, the pathophysiology of which is not yet known. 
  • The average age of disease onset in different populations ranges from 16.6 to 21.2 years.
  •  Women get sick slightly more often. 
  • There is a familial predisposition to the development of this disease. 

After the onset of the main symptoms, the disease, as a rule, proceeds without pronounced fluctuations for a long time. However, spontaneous remissions are noted in 14-25% of cases. Complications are observed mainly in the social and professional spheres; working capacity, academic performance, social status decrease, and job loss are possible.

Hypersomnia diagnosis

Hypersomnia Diagnosis

Our Specialists have tremendous experience in hypersomnia diagnosing and treatment. The equipment of our center detects diseases in the early stages. The basis of the treatment of sleep disorders is psychological work and a wide range of therapeutic methods to eliminate the root cause of the problem.

1) As a rule, the doctor is interested in:

  • the patient’s mood;
  • complaints from the patient; 
  • what medications he is taking;
  • whether traumatic events have occurred in the patient’s life;
  • whether there is an increased load and stress at work.

2)  If there is a suspicion of neurological pathology, a referral is given to a neurologist who can prescribe:

  • an MRI;
  • or CT scan.

 3) Examination by a neurologist and subsequent examinations also provide an opportunity to identify:

  • memory disorders;
  • depression;
  • and symptoms of pathologies such as meningitis and neoplastic brain damage.

4) If psychological reasons are excluded, the body is examined, especially:

  • the heart;
  • liver and lungs;
  • blood and urine tests are prescribed.

 5)  The diagnosis can be based on:  

  • examination; 
  • laboratory tests. To assess the severity of daytime sleepiness, introspective methods are used, such as:
  • Epworth sleepiness scale;
  • Stanford and Carolina sleepiness scales;
  • multiple sleep latency test;
  • actigraphy;
  • polysomnography.

The results of these studies are not always correlated with each other and should be subject to appropriate clinical evaluation.

The multiple sleep latency test assesses a person’s ability to fall asleep in a restful environment. Before the study, polysomnography is necessary, which confirms that the previous night’s sleep duration is at least seven hours. At the end of the test, the average sleep latency is calculated, which is a healthy person, as a rule, exceeds ten minutes. With hypersomnia, the time to fall asleep in less than eight minutes. Another equally important aspect of assessing the test results is the presence of episodes of early onset of REM sleep. It is important to note that early onset of REM sleep can be recorded in people with chronic sleep insufficiency, circadian rhythm disorders, sleep breathing disorders, and sometimes in healthy people (in 4-9% of cases). For the diagnosis of hypersomnia, long-term actigraphy and polysomnography with continuous recording of indicators during the day are used.

hypersomnia treatment

Hypersomnia Treatment 

Treatment is prescribed only after the initial admission diagnosis, based on the results of the tests. With drug therapy, benzodiazepine drugs, antidepressants, and antipsychotics with a sedative effect are most often used:

  • Prescribing drugs for hypersomnolence requires an individual approach. In each case, before prescribing the drug, it is necessary to weigh the possible benefits of its use and the risk of side effects and complications. In any case, therapy begins with minimal doses with a gradual increase ineffectiveness. Patients can take medications daily or periodically in situations of particular importance to them.
    In addition to drug therapy, the individual adaptation of the patient is essential, including professional and social rehabilitation aimed at maintaining the patient’s social status, employment in an accessible profession, psychological correction, and other measures of social assistance.
  • Psychophysiological hypersomnia does not require special treatment. Creating appropriate conditions for an adequate night sleep duration, the end of the stress factor leads to improvement.
    As for children and adolescents, it is recommended to consider the age norms of sleep when organizing the daily routine. Sleep hygiene for hypersomnia consists of a daytime sleep of 45 minutes. Compliance with the sleep regimen, excluding work in the evening and at night, including 1-2 periods of daytime sleep in the routine, normalizes the nervous system’s activity. If the source of the sleep disorder is identified correctly, the correct treatment will be effective quickly.

Once the cause of drowsiness has been eliminated, it is imperative to maintain a healthy lifestyle. The result of therapy will be restoring night sleep, and after this process, daytime sleepiness will disappear. 

hypersomnia therapy

Hypersomnia Therapy

The therapy scheme for drowsiness is always individual, depending on the severity of the disease. It can include:

  • drug treatment;
  • plastic surgery to restore the airways;
  • acupuncture, massage courses;
  • yoga classes;
  • adherence to sleep patterns.

In addition to sleep hygiene and coping skills, treatment may include medication to increase focus and concentration throughout the day. A child or adolescent with hypersomnia or narcolepsy may need special conditions to help them learn and improve concentration. Scheduled sleep breaks, later start times, shorter school days, or extra time to do homework or tests can improve academic performance.

 It is also important to:

  • follow a diet to exclude spicy; 
  • fatty;
  • salty foods from the diet during recovery; 
  • balance the mode of work and rest;
  • not to overwork;
  • to walk in the fresh air for at least half an hour.

In sedentary work, it is essential to: 

  • fill in your leisure time with activities, for example, sports. 

The patient needs to stop smoking drinking alcohol, exclude food intake before bedtime. If you suspect the symptoms of hypersomnia, you should see a doctor. Contact us to avoid complications.


  • What does Apnea mean?

Sleep apnea is a breathing disorder in which a sleeping person stops breathing for short periods. Breathing becomes irregular, with repeated stops. There are two main types of this condition: obstructive sleep apnea and central sleep apnea.

  • How do you know if you have apnea?

Typical sleep apnea symptoms are:

  1.  headache upon awakening, which develops due to oxygen deprivation of brain cells;
  2. feeling tired even after a prolonged restful sleep, caused by frequent short-term waking up after the suspension of breathing.
  • How to sleep properly with apnea?

Try sleeping on your side. In some patients with early-stage sleep apnea, breath-holding occurs only when they sleep on their back. If you find it difficult to abandon your usual sleeping position, use pillows and bolsters for more comfort.

  • What disease causes a feeling of intense sleepiness during the day?

This symptom causes hypersomnia. To find out for sure, consult a doctor who will diagnose and diagnose.

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Edward Medina
Edward Medina
15:34 30 Jun 22
Just such an amazing staff that makes you feel like part of their family. I’ve been going there for over 5 years now... and each visit I get the very best care and treatments that I have ever received in the 20+ years that I’ve been dealing with severe debilitating migraines. Since i started seeing them the number of my migraines has dropped from 15-20 a month to 2-3 every 3 month. I highly recommend them …they will change your life!read more
Daneisha Johnson
Daneisha Johnson
22:20 19 May 22
Dr. Askari was very kind and explained everything so I could understand. The other staff were nice as well. I would... have gave 5 stars but I was a little taken aback when I checked in and had to pay 600.00 upfront. I think that should have been discussed in a appointment confirmation call or email just so I could have been more
Jean Cooper
Jean Cooper
16:54 29 Apr 22
I love the office staff they are friendly and very helpful. Dr. JODIE is very caring and understanding to your needs... and wants to help you. I will go back. would recommend Dr. Dr. Jodie to other Patients in a heart beat. The team works well more
Linda M
Linda M
19:40 02 Apr 22
I was obviously stressed, needing to see a neurologist. The staff was so patient and Dr. Ansari was so kind. At one... point he told me to relax, we have time, when I was relaying my history of my condition. That helped ease my stress. I have seen 3 other neurologists and he was the only one who performed any assessment tests on my cognitive and physical skills. At one point I couldn't complete two assessments and got upset and cried. I was told, it's OK. That's why you're here. I was truly impressed, and super pleased with the whole experience!read more
Leslie Durham
Leslie Durham
15:05 01 Apr 22
I've been coming here for about 5 years. The staff are ALWAYS friendly and knowledgeable. The Doctors are the absolute... best!! Jodie Moore is always in such a great mood which is a plus when you are already stressed. Highly recommendedread more
Monica Del Bosque
Monica Del Bosque
14:13 25 Mar 22
Since my first post my thoughts have changed here. It's unfortunate. My doctor and PA were great, but the office staff... is horrible. They never call you back when they say they will, they misinform you, they cause you too much stress wondering what's going on, they don't keep you posted. They never answer the phone. At this point I've left four messages in the last week, and I have sent three messages. Twice from their portal and one direct email. No response. My appointment is on Monday morning at 8:30am, no confirmation on my insurance and what's going on. What the heck is going on, this is ridiculous!I've given up... the stress her office staff has put me through is just not worth it. You can do so much better, please clean house, either change out your office staff, or find a way for them to be more efficient please. You have to do something. This is not how you want to run your practice. It leaves a very bad impression on your more
Ron Buckholz
Ron Buckholz
23:32 23 Mar 22
I was actually pleasantly surprised with this visit! It took me a long time to get the appointment scheduled because no... one answers your phones EVER! After a month, I finally got in, and your staff was warm, friendly, and I was totally impressed! I feel like you will take care of my needs!read more
Steve Nabavi
Steve Nabavi
16:28 16 Mar 22
It was a nice visit. Happy staff doing all they can do to comfort the patients in a very calming environment. You ask... me they are earned a big gold star on the fridge. My only complaint they didn't give me any more
Katie Lewis
Katie Lewis
16:10 10 Feb 22
Had very positive appointments with Jodie and Dr. Sheth for my migraine care. Jodie was so fast with the injections and... has so much valuable info. I started to feel light headed during checkout and the staff was SO helpful—giving me a chair, water, and taking me into a private room until I felt better. Highly recommend this practice for migraine patients, they know what they’re doing!!read more
Joshua Martinez
Joshua Martinez
16:02 10 Dec 21
I was scheduled to be checked and just want to say that the staff was fantastic. They were kind and helpful. I was... asked many questions related to what was going on and not once did I feel as though I was being brushed off. The front desk staff was especially great in assisting me. I'm scheduled to go back for a mri and am glad that I'll be going more
Isabel Ivy
Isabel Ivy
21:42 03 Nov 21
I had such a good experience with Lone Star Neurology, Brent my MRI Tech was so awesome and made sure I was very... comfortable during the appointment. He gave me ear plugs, a pillow, leg support and blanket, easiest MRI ever lol 🤣 My 72 hour EEG nurse Amanda was also so awesome. She made sure I was take care of over the 3 days and took her time with the electrodes to make sure it was comfortable for me! Paige was also a huge help in answering all my questions when it came to my test results, and letting me know her honest opinions about how I should go forth with my more
Leslie Luce
Leslie Luce
17:37 20 Oct 21
The professionalism and want to help attitude of this office was present from the moment I contacted them. The follow... up and follow through as well as their willingness to find a way to schedule my dad was above and beyond. We visited two offices in the same day with the same experience. I am appreciative of this—we spend a lot of time with doctors and this was top notch start to more
robert Parker
robert Parker
16:38 16 Apr 21
I love going to this office. The staff is friendly and helpful. The doctor is great. I am getting the best... neurological tests and treatment I have ever had. The only reason I did not give them a 5 star rating is because it is impossible to reach a live person at the office to reschedule appointments. Every time I have tried to get through to the office it says all people are busy and I am sent to a voicemail. If they could get their phone answering fixed, I would give them a strong 5 more
MaryAnn Hornbaker
MaryAnn Hornbaker
00:26 25 Feb 21
Dr. Harney is an excellent Dr. I found him friendly , personable and thorough. I evidently am an unusual case. ... Therefore he spent a Hugh amount of time educating me. He even gave me literature to further explain my condition and how to follow up. This is something you rarely get from your doctors. So I am more than please with my doctor and his more
Roger Arguello
Roger Arguello
03:05 29 Jan 21
Always courteous, professional. The staff is very friendly and always work with you to find the best appointment time.... The care team has been great. Always taking the time to listen to your concerns and to find the best more
Margaret Rowland
Margaret Rowland
01:12 27 Jan 21
I have been a patient at Lone Star Neurology for several years. Now both my adult daughters also are patients there. I... love Jodie. She is always so prompt whether it is a teleamed call are a visit in the office. She takes the time to explain everything to me and answers all my questions. I am so blessed to have Jodie as my more
Susan Miller
Susan Miller
03:01 13 Jan 21
My husband had an accident 5 years ago and Lone Star Neurology has been such a blessing to us with my husbands care.... Jodie Moore is his provider and she is amazing! Jodie is very knowledgeable, caring, and thorough. She takes her time with you, making sure your needs are met and she is happy to answer any questions you may have. Lone Star Neurology’s patients are very lucky to have Jodie providing their care. Thank you Lone Star Neurology and especially Jodie for everything you have done for us. Jodie, you are the best!read more
Windalyn C
Windalyn C
01:32 09 Jan 21
Jodie is wonderful. She is very caring and knowledgeable. I have been to over a dozen neurologists, and none were able... to help me as much as they have here. Thanks!read more
Katie Kordel
Katie Kordel
00:40 09 Jan 21
Jodi Moore, nurse practitioner, is amazing. I have suffered from frequent, debilitating headaches for almost 20 years.... She has provided the best proactive and responsive care I have ever received. My quality of life has been greatly improved by her caring approach and tenacity in finding more
Ellie Natsis
Ellie Natsis
15:41 07 Jan 21
I have had the best experience at this neurologist's office! For over a year I have been receiving iv treatments here... each month and my nurse, Bobbie is beyond wonderful!! She's so attentive, knowledgeable, caring, and detail oriented. She makes an otherwise uncomfortable experience much more pleasant and definitely puts me at ease! She also helps me with my insurance,ordering this specialty medication and dealing with the ordering process which is no easy feat.Needless to say, she goes above a beyond in every way and I'm so grateful to this office and to Bobbie for all they do for me!read more
Matt Morris
Matt Morris
15:39 07 Jan 21
Let me start by saying that I have been coming here for years. Due to my autoimmune disease, I am in this office... once every three weeks for multiple hours at a time. The office is very clean and the staff very friendly. My only complaint would be there communication via phone. They aren't the best at responding if you leave a voicemail and expect a call back. I understand that this is prob just due to the sheer number of alls they receive daily. What I can say I like the best about the office are the people. Bobby who handles my infusions is great. I never have any issues with her setting up my infusions. She is very quick to reply to messages sent via text and if she were to leave then my whole opinion of the office may change. I also enjoy people like Matt, Lauren, and Jodi. I appreciate all that they do for me and without this team I'm not sure I would be as happy as I am to visit the office as frequently as I have to. Please ensure that these folks are recognized as they are what makes my visit to this office so tolerable :).read more
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