PMID- 2653302
OWN - NLM
STAT- MEDLINE
DCOM- 19890526
LR  - 20151119
IS  - 0095-6562 (Print)
IS  - 0095-6562 (Linking)
VI  - 60
IP  - 3
DP  - 1989 Mar
TI  - Evaluation of the sleepy crewmember: USAFSAM experience and a suggested clinical 
      approach.
PG  - 263-7
AB  - From 1958 to 1986, 27 crewmembers with suspected sleep disorders were referred to 
      the USAF School of Aerospace Medicine. The presenting complaint in most cases was 
      excessive daytime sleepiness (EDS). Prior to 1984, evaluations included 
      neurologic and psychiatric testing, screening laboratory studies, and awake and 
      asleep electroencephalography. Polysomnography and sleep latency studies were 
      included after 1984. In the majority of cases, the etiology of the complaint 
      could not be determined. The prevalence of EDS is estimated to be between 0.3% 
      and 4.0% of the adult population. Major causes cited in the world literature 
      include the sleep apnea syndromes, narcolepsy, parasomnias interrupting sleep, 
      hypersomnia secondary to systemic or affective disorders, and essential 
      hypersomnia. Current sleep lab techniques and human leukocyte antigen (HLA) 
      typing are reported to make the diagnosis in up to 90% of sleep disorders. 
      Evaluation of EDS should begin with a history emphasizing sleep habits, work 
      schedules, daytime naps, and presence of vegetative signs. A sleep diary will 
      allow a more accurate estimate of the quantity of nocturnal sleep. This diary may 
      reveal poor sleep hygiene or insomnia. Polysomnography and/or multiple sleep 
      latency determination can then be used to diagnose sleep apnea, parasomnias, and 
      narcolepsy.
FAU - Katchen, M
AU  - Katchen M
AD  - Neuropsychiatry Branch, USAF School of Aerospace Medicine, Brooks Air Force Base, 
      Texas.
FAU - Gronseth, G S
AU  - Gronseth GS
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Aviat Space Environ Med
JT  - Aviation, space, and environmental medicine
JID - 7501714
SB  - IM
MH  - Adult
MH  - *Aerospace Medicine
MH  - Disorders of Excessive 
      Somnolence/*diagnosis/epidemiology/etiology/physiopathology
MH  - Humans
MH  - Male
MH  - Narcolepsy/complications/epidemiology
MH  - Sleep Apnea Syndromes/complications/epidemiology
MH  - Sleep Wake Disorders/*diagnosis
RF  - 17
EDAT- 1989/03/01 00:00
MHDA- 1989/03/01 00:01
CRDT- 1989/03/01 00:00
PHST- 1989/03/01 00:00 [pubmed]
PHST- 1989/03/01 00:01 [medline]
PHST- 1989/03/01 00:00 [entrez]
PST - ppublish
SO  - Aviat Space Environ Med. 1989 Mar;60(3):263-7.