Insomnia: Difference between revisions

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**Cortical
**Cortical
*Genetic: ApoE4, PER3, 5HTTLPR, [[Single Nucleotide Polymorphism]], CLOCK gene, HLA DQI*002
*Genetic: ApoE4, PER3, 5HTTLPR, [[Single Nucleotide Polymorphism]], CLOCK gene, HLA DQI*002
* Sleep switch Model(Orexin)
* Sleep switch Model (Orexin)
** Sleep:[[Ventrolateral Preoptic Nucleus]]
** Sleep:[[Ventrolateral Preoptic Nucleus]]
** Wake: [[Tuberomammillary nucleus]], [[dorsal raphe]], [[Locus coeruleus]]
** Wake: [[Tuberomammillary nucleus]], [[dorsal raphe]], [[Locus coeruleus]]

Revision as of 20:16, 10 February 2021


For patient information click here

Insomnia Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Insomnia from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Non-Pharmacological Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Insomnia On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Insomnia :All Images :X'-'ray' 'X'-'rays :Ultrasound' 'Echo & Ultrasound :CT' 'CT Images :MRI' 'MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Insomnia

CDC on Insomnia

Insomnia in the news

Blogs on Insomnia

Directions to Hospitals Treating Insomnia

Risk calculators and risk factors for Insomnia

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Amber Ehsan Faquih, MD[2] Kiran Singh, M.D. [3], Jyostna Chouturi, M.B.B.S [4]

Synonyms and keywords: Insomnia disorder

Overview

Historical Perspective

Pathophysiology


It is thought that insomnia is mediated by:

Classification

Insomnia has been classified by the International Classification of Sleep Disorders, 2nd Edition into 11 categories[1]:

  • Psychophysiologic insomnia (primary insomnia)
  • Adjustment insomnia (acute insomnia)
  • Paradoxical insomnia
  • Behavioral insomnia of childhood
  • Primary sleep disorders causing insomnia
  • Idiopathic insomnia
  • Inadequate sleep hygiene
  • Insomnia due to mental disorder
  • Insomnia due to drug or substance abuse
  • Insomnia due to a medical condition
  • Insomnia not due to a substance or known physiologic condition, unspecified

Causes

Differentiating Insomnia from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Non-pharmacological therapy | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Management is guided by available clinical practice guidelines[2].

Case Studies

Case #1

See also

References

  1. "Insomnia: Practice Essentials, Background, Anatomy".
  2. Mysliwiec V, Martin JL, Ulmer CS, Chowdhuri S, Brock MS, Spevak C; et al. (2020). "The Management of Chronic Insomnia Disorder and Obstructive Sleep Apnea: Synopsis of the 2019 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guidelines". Ann Intern Med. doi:10.7326/M19-3575. PMID 32066145 Check |pmid= value (help).


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