publication . Article . 2014

The Sleepy Teenager – Diagnostic Challenges

Anne-Marie eLandtblom; Anne-Marie eLandtblom; Anne-Marie eLandtblom; Anne-Marie eLandtblom; Maria eEngström;
Open Access English
  • Published: 01 Aug 2014 Journal: Frontiers in Neurology (issn: 1664-2295, Copyright policy)
  • Publisher: Frontiers Media S.A.
  • Country: Norway
Abstract
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 d...
Subjects
free text keywords: hypersomnia, delayed sleep phase syndrome, computer gaming, Kleine-Levin syndrome, Neurology, Neurologi, Adolescent, Cognition Disorders, Depression, Fatigue, Multiple Sclerosis, Narcolepsy, Neurology. Diseases of the nervous system, RC346-429, Neuroscience, Kleine–Levin syndrome, Perspective Article, Clinical Neurology, Behavioral pattern, Sleep disorder, medicine.disease, medicine, Suspect, Medical diagnosis, Psychosocial, Psychology, Substance abuse
Related Organizations
38 references, page 1 of 3

1 Tarokh L Raffray T Van Reen E Carskadon MA. Physiology of normal sleep in adolescents. Adolesc Med (2010) 21(3):401–17.

2 Jabeen S. Delayed sleep phase syndrome: a forerunner of psychiatric distress. J Coll Physicians Surg Pak (2013) 23(12):874–7. doi:12.2013/JCPSP.874877 24304991 [PubMed]

3 Wolf-Meyer M. Therapy, remedy, cure: disorder and the spatiotemporality of medicine and everyday life. Med Anthropol (2014) 33(2):144–59.10.1080/01459740.2013.792812 24512383 [OpenAIRE] [PubMed] [DOI]

4 Vedaa O Saxvig IW Wilhemsen-Langeland A Bjorvatn B Pallesen S. School start time, sleepiness and functioning in Norwegian adolescents. Scand J Educ Res (2012) 56(1):55–67.10.1080/00313831.2011.567396 [OpenAIRE] [DOI]

5 Holstein BE Pagh-Pedersen T Bendtsen P Rich Madsen KR Riebeling Meilstrup C Nielsen L Perceived problems with computer gaming and internet use among adolescents: measurement tool for non-clinical survey studies. BMC Public Health (2014) 14:361.10.1186/1471-2458-14-361 24731270 [OpenAIRE] [PubMed] [DOI]

6 Sivertsen B Pallesen S Stormark K Böe T Lundervold A Hysing M. Delayed sleep phase syndrome: prevalence and correlates in a large population study. BMC Public Health (2013) 13:1163.10.1186/1471-2458-13-1163 24330358 [OpenAIRE] [PubMed] [DOI]

7 Lemola S Brand S Vogler N Perkinson-Glor N Allemand M Grob A. Habitual computer game playing at night is related to depressive symptoms. Pers Individ Dif (2011) 51:117–22.10.1016/j.paid.2011.03.024 [OpenAIRE] [DOI]

8 Thomée S Härenstam A Hagberg M. Computer use and stress, sleep disturbances, and symptoms of depression among young adults – a prospective cohort study. BMC Psychiatry (2012) 12:176.10.1186/1471-244X-12-176 [OpenAIRE] [DOI]

9 Kwon M Kim D. Internet addiction and suicide. J Korean Med Assoc (2012) 55(4):335–40.10.5124/jkma.2012.55.4.335 [OpenAIRE] [DOI]

10 Partinen M Saarenpää-Heikkilä O Ilveskoski I Hublin C Linna M Olsén P Increased incidence and clinical picture of childhood narcolepsy following the 2009 H1N1 pandemic vaccination campaign in Finland. PLoS One (2012) 7(3):e33723.10.1371/journal.pone.0033723 22470463 [OpenAIRE] [PubMed] [DOI]

11 Szakács A Darin N Hallböök T. Increased childhood incidence of narcolepsy in western Sweden after H1N1 influenza vaccination. Neurology (2013) 80(14):1315–21.10.1212/WNL.0b013e31828ab26f 23486871 [OpenAIRE] [PubMed] [DOI]

12 Landtblom AM Dige N Schwerdt K Säfström P Granerus G. A case of Kleine-Levin syndrome examined with SPECT and neuropsychological testing. Acta Neurol Scand (2002) 105:318–21.10.1034/j.1600-0404.2002.1c162.x 11939946 [OpenAIRE] [PubMed] [DOI]

13 Landtblom AM Dige N Schwerdt K Säfström P Granerus G. Short term memory dysfunction in Kleine-Levin syndrome. Acta Neurol Scand (2003) 108:363–7.10.1034/j.1600-0404.2003.00171.x 14616308 [OpenAIRE] [PubMed] [DOI]

14 Engström M Vigren P Karlsson T Landtblom AM. Working memory in 8 Kleine-Levin syndrome patients: an fMRI study. Sleep (2009) 5:681–8.

15 Vigren P Tisell A Engström M Karlsson T Leinhard Dahlqvist O Lundberg P Low thalamic NAA concentration corresponds to strong neural activation in working memory in Kleine-Levin syndrome. PLoS One (2013) 8(2):e56279.10.1371/journal.pone.0056279 23451038 [OpenAIRE] [PubMed] [DOI]

38 references, page 1 of 3
Abstract
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 d...
Subjects
free text keywords: hypersomnia, delayed sleep phase syndrome, computer gaming, Kleine-Levin syndrome, Neurology, Neurologi, Adolescent, Cognition Disorders, Depression, Fatigue, Multiple Sclerosis, Narcolepsy, Neurology. Diseases of the nervous system, RC346-429, Neuroscience, Kleine–Levin syndrome, Perspective Article, Clinical Neurology, Behavioral pattern, Sleep disorder, medicine.disease, medicine, Suspect, Medical diagnosis, Psychosocial, Psychology, Substance abuse
Related Organizations
38 references, page 1 of 3

1 Tarokh L Raffray T Van Reen E Carskadon MA. Physiology of normal sleep in adolescents. Adolesc Med (2010) 21(3):401–17.

2 Jabeen S. Delayed sleep phase syndrome: a forerunner of psychiatric distress. J Coll Physicians Surg Pak (2013) 23(12):874–7. doi:12.2013/JCPSP.874877 24304991 [PubMed]

3 Wolf-Meyer M. Therapy, remedy, cure: disorder and the spatiotemporality of medicine and everyday life. Med Anthropol (2014) 33(2):144–59.10.1080/01459740.2013.792812 24512383 [OpenAIRE] [PubMed] [DOI]

4 Vedaa O Saxvig IW Wilhemsen-Langeland A Bjorvatn B Pallesen S. School start time, sleepiness and functioning in Norwegian adolescents. Scand J Educ Res (2012) 56(1):55–67.10.1080/00313831.2011.567396 [OpenAIRE] [DOI]

5 Holstein BE Pagh-Pedersen T Bendtsen P Rich Madsen KR Riebeling Meilstrup C Nielsen L Perceived problems with computer gaming and internet use among adolescents: measurement tool for non-clinical survey studies. BMC Public Health (2014) 14:361.10.1186/1471-2458-14-361 24731270 [OpenAIRE] [PubMed] [DOI]

6 Sivertsen B Pallesen S Stormark K Böe T Lundervold A Hysing M. Delayed sleep phase syndrome: prevalence and correlates in a large population study. BMC Public Health (2013) 13:1163.10.1186/1471-2458-13-1163 24330358 [OpenAIRE] [PubMed] [DOI]

7 Lemola S Brand S Vogler N Perkinson-Glor N Allemand M Grob A. Habitual computer game playing at night is related to depressive symptoms. Pers Individ Dif (2011) 51:117–22.10.1016/j.paid.2011.03.024 [OpenAIRE] [DOI]

8 Thomée S Härenstam A Hagberg M. Computer use and stress, sleep disturbances, and symptoms of depression among young adults – a prospective cohort study. BMC Psychiatry (2012) 12:176.10.1186/1471-244X-12-176 [OpenAIRE] [DOI]

9 Kwon M Kim D. Internet addiction and suicide. J Korean Med Assoc (2012) 55(4):335–40.10.5124/jkma.2012.55.4.335 [OpenAIRE] [DOI]

10 Partinen M Saarenpää-Heikkilä O Ilveskoski I Hublin C Linna M Olsén P Increased incidence and clinical picture of childhood narcolepsy following the 2009 H1N1 pandemic vaccination campaign in Finland. PLoS One (2012) 7(3):e33723.10.1371/journal.pone.0033723 22470463 [OpenAIRE] [PubMed] [DOI]

11 Szakács A Darin N Hallböök T. Increased childhood incidence of narcolepsy in western Sweden after H1N1 influenza vaccination. Neurology (2013) 80(14):1315–21.10.1212/WNL.0b013e31828ab26f 23486871 [OpenAIRE] [PubMed] [DOI]

12 Landtblom AM Dige N Schwerdt K Säfström P Granerus G. A case of Kleine-Levin syndrome examined with SPECT and neuropsychological testing. Acta Neurol Scand (2002) 105:318–21.10.1034/j.1600-0404.2002.1c162.x 11939946 [OpenAIRE] [PubMed] [DOI]

13 Landtblom AM Dige N Schwerdt K Säfström P Granerus G. Short term memory dysfunction in Kleine-Levin syndrome. Acta Neurol Scand (2003) 108:363–7.10.1034/j.1600-0404.2003.00171.x 14616308 [OpenAIRE] [PubMed] [DOI]

14 Engström M Vigren P Karlsson T Landtblom AM. Working memory in 8 Kleine-Levin syndrome patients: an fMRI study. Sleep (2009) 5:681–8.

15 Vigren P Tisell A Engström M Karlsson T Leinhard Dahlqvist O Lundberg P Low thalamic NAA concentration corresponds to strong neural activation in working memory in Kleine-Levin syndrome. PLoS One (2013) 8(2):e56279.10.1371/journal.pone.0056279 23451038 [OpenAIRE] [PubMed] [DOI]

38 references, page 1 of 3
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publication . Article . 2014

The Sleepy Teenager – Diagnostic Challenges

Anne-Marie eLandtblom; Anne-Marie eLandtblom; Anne-Marie eLandtblom; Anne-Marie eLandtblom; Maria eEngström;