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The sleepy teenager – diagnostic challenges
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuroscience. Linköping University, Faculty of Health Sciences. Linköping University, Center for Medical Image Science and Visualization (CMIV). Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Neurology. Östergötlands Läns Landsting, Local Health Care Services in West Östergötland, Department of Medical Specialist in Motala.
Linköping University, Department of Medical and Health Sciences, Division of Radiological Sciences. Linköping University, Faculty of Health Sciences. Linköping University, Center for Medical Image Science and Visualization (CMIV).ORCID iD: 0000-0002-2167-2450
2014 (English)In: Frontiers in Neurology, ISSN 1664-2295, E-ISSN 1664-2295, Vol. 5, no 140Article in journal (Refereed) Published
Abstract [en]

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 diagnostic skills and to realize that the physiological or pathological conditions that can cause the symptoms may have different explanations. Research in sleep disorders has shown different pathological mechanisms congruent with the variations in the clinical picture. There are probably also different patterns of involved neuronal circuits although common pathways may exist. The whole picture remains to be drawn in this interesting and challenging area.

Place, publisher, year, edition, pages
Switzerland: Frontiers Research Foundation , 2014. Vol. 5, no 140
Keyword [en]
adolescent, narcolepsy, hypersomnia, delayed sleep phase syndrome, computer gaming, fatigue, cognition disorders, Kleine–Levin syndrome
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:liu:diva-109313DOI: 10.3389/fneur.2014.00140PubMedID: 25136329OAI: oai:DiVA.org:liu-109313DiVA: diva2:737300
Available from: 2014-08-12 Created: 2014-08-12 Last updated: 2017-12-05Bibliographically approved

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Landtblom, Anne-MarieEngström, Maria

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Division of NeuroscienceFaculty of Health SciencesCenter for Medical Image Science and Visualization (CMIV)Department of NeurologyDepartment of Medical Specialist in MotalaDivision of Radiological Sciences
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