International Classification of Sleep Disorders, Third Edition
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International I Classification of Sleep DisordersC Third Edition S D American Academy3 of Sleep Medicine Copyright © 2014 American Academy of Sleep Medicine, 2510 North Frontage Road, Darien, IL 60561, U.S.A. Copies of the manual are available from the American Academy of Sleep Medicine in the U.S.A. All rights reserved. Unless authorized in writing by the AASM, no portion of this book may be reproduced or used in a manner inconsistent with the copyright. This applies to unauthorized reproductions in any form, including computer programs. Correspondence regarding copyright permissions should be directed to the Executive Director, American Academy of Sleep Medicine, 2510 North Frontage Road, Darien, IL 60561, U.S.A. Translations to other languages must be authorized by the American Academy of Sleep Medicine, U.S.A. Recommended Citation American Academy of Sleep Medicine. International classification of sleep disorders, 3rd ed. Darien, IL: American Academy of Sleep Medicine, 2014. International classification of sleep disorders, rd3 ed. American Academy of Sleep Medicine. Includes bibliographies and index. 1. Sleep Disorders – Classification. 2. Sleep Disorders – Diagnosis ISBN: 0991543416 (print) ISBN: 0991543408 (online) Table of Contents About the Editor ...........................................................................................8 Editor’s Notes ...............................................................................................9 Acknowledgments ......................................................................................10 Introduction .................................................................................................13 Insomnia ......................................................................................................19 Chronic Insomnia Disorder ....................................................................................21 Short-Term Insomnia Disorder ...............................................................................41 Other Insomnia Disorder ........................................................................................46 ISOLATED SYMPTOMS AND NORMAL VARIANTS Excessive Time in Bed ...........................................................................................47 Short Sleeper .........................................................................................................47 Sleep Related Breathing Disorders ..........................................................49 OBSTRUCTIVE SLEEP APNEA DISORDERS Obstructive Sleep Apnea, Adult .............................................................................53 Obstructive Sleep Apnea, Pediatric .......................................................................63 CENTRAL SLEEP APNEA SYNDROMES Central Sleep Apnea with Cheyne-Stokes Breathing.............................................69 Central Apnea Due to a Medical Disorder without Cheyne-Stokes Breathing .......75 Central Sleep Apnea Due to High Altitude Periodic Breathing ...............................79 Central Sleep Apnea Due to a Medication or Substance .......................................85 Primary Central Sleep Apnea.................................................................................89 Primary Central Sleep Apnea of Infancy ................................................................94 Primary Central Sleep Apnea of Prematurity .........................................................98 Treatment-Emergent Central Sleep Apnea ..........................................................102 SLEEP RELATED HYPOVENTILATION DISORDERS Obesity Hypoventilation Syndrome ......................................................................108 Congenital Central Alveolar Hypoventilation Syndrome ...................................... 113 Late-Onset Central Hypoventilation with Hypothalamic Dysfunction ................... 118 Idiopathic Central Alveolar Hypoventilation..........................................................121 Sleep Related Hypoventilation Due to a Medication or Substance......................124 Sleep Related Hypoventilation Due to a Medical Disorder ..................................128 SLEEP RELATED HYPOXEMIA DISORDER Sleep Related Hypoxemia ...................................................................................134 5 Table of Contents ISOLATED SYMPTOMS AND NORMAL VARIANTS Snoring .................................................................................................................139 Catathrenia ..........................................................................................................141 Central Disorders of Hypersomnolence .................................................143 Narcolepsy Type 1 ...............................................................................................146 Narcolepsy Type 2 ...............................................................................................155 Idiopathic Hypersomnia .......................................................................................161 Kleine-Levin Syndrome ........................................................................................166 Hypersomnia Due to a Medical Disorder .............................................................171 Hypersomnia Due to a Medication or Substance.................................................175 Hypersomnia Associated with a Psychiatric Disorder ..........................................179 Insufficient Sleep Syndrome ................................................................................182 ISOLATED SYMPTOMS AND NORMAL VARIANTS Long Sleeper........................................................................................................187 Circadian Rhythm Sleep-Wake Disorders ..............................................189 Delayed Sleep-Wake Phase Disorder .................................................................191 Advanced Sleep-Wake Phase Disorder ...............................................................198 Irregular Sleep-Wake Rhythm Disorder ...............................................................204 Non-24-Hour Sleep-Wake Rhythm Disorder ........................................................209 Shift Work Disorder ..............................................................................................215 Jet Lag Disorder ...................................................................................................220 Circadian Sleep-Wake Disorder Not Otherwise Specified (NOS) ........................224 Parasomnias .............................................................................................225 NREM-RELATED PARASOMNIAS Disorders of Arousal (From NREM Sleep) ...........................................................228 Confusional Arousals ...........................................................................................229 Sleepwalking ........................................................................................................229 Sleep Terrors ........................................................................................................230 Sleep Related Eating Disorder.............................................................................240 REM-RELATED PARASOMNIAS REM Sleep Behavior Disorder .............................................................................246 Recurrent Isolated Sleep Paralysis ......................................................................254 Nightmare Disorder ..............................................................................................257 OTHER PARASOMNIAS Exploding Head Syndrome ..................................................................................264 Sleep Related Hallucinations ...............................................................................267 6 Table of Contents Sleep Enuresis .....................................................................................................270 Parasomnia Due to a Medical Disorder ...............................................................276 Parasomnia Due to a Medication or Substance...................................................276 Parasomnia, Unspecified ....................................................................................278 ISOLATED SYMPTOMS AND NORMAL VARIANTS Sleep Talking ........................................................................................................279 Sleep Related Movement Disorders .......................................................281 Restless Legs Syndrome .....................................................................................282 Periodic Limb Movement Disorder .......................................................................292 Sleep Related Leg Cramps ..................................................................................299 Sleep Related Bruxism ........................................................................................303 Sleep Related Rhythmic Movement Disorder ......................................................312 Benign Sleep Myoclonus of Infancy .....................................................................317 Propriospinal Myoclonus at Sleep Onset .............................................................321 Sleep Related Movement Disorder Due to a Medical Disorder ...........................325 Sleep Related Movement Disorder Due to a Medication or Substance ...............326 Sleep Related Movement Disorder, Unspecified .................................................327