International I Classification of DisordersC Third Edition S D

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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 Disorder...... 21 Short-Term Insomnia Disorder...... 41 Other Insomnia Disorder...... 46

ISOLATED SYMPTOMS AND NORMAL VARIANTS Excessive Time in ...... 47 Short Sleeper...... 47

Sleep Related Breathing Disorders...... 49 OBSTRUCTIVE DISORDERS , 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

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ISOLATED SYMPTOMS AND NORMAL VARIANTS ...... 139 ...... 141

Central Disorders of Hypersomnolence...... 143 Type 1...... 146 Narcolepsy Type 2...... 155 Idiopathic ...... 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 Disorder...... 220 Circadian Sleep-Wake Disorder Not Otherwise Specified (NOS)...... 224

Parasomnias...... 225

NREM-RELATED Disorders of Arousal (From NREM Sleep)...... 228 Confusional Arousals...... 229 ...... 229 Sleep Terrors...... 230 Sleep Related Eating Disorder...... 240

REM-RELATED PARASOMNIAS REM Sleep Behavior Disorder...... 246 Recurrent Isolated ...... 254 Disorder...... 257

OTHER PARASOMNIAS ...... 264 Sleep Related ...... 267

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Sleep Enuresis...... 270 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 ...... 303 Sleep Related Rhythmic Movement Disorder...... 312 Benign Sleep of Infancy...... 317 Propriospinal Myoclonus at ...... 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

ISOLATED SYMPTOMS AND NORMAL VARIANTS Excessive Fragmentary Myoclonus ...... 328 Hypnagogic Foot Tremor and Alternating Leg Muscle Activation...... 330 Sleep Starts (Hypnic Jerks)...... 335

Other ...... 339

Appendix A: Sleep Related Medical and Neurological Disorders...... 341 Fatal Familial Insomnia...... 342 Sleep Related ...... 345 Sleep Related ...... 350 Sleep Related Laryngospasm...... 355 Sleep Related Gastroesophageal Reflux...... 358 Sleep Related Myocardial Ischemia...... 363

Appendix B: ICD-10-CM Coding for Substance-Induced Sleep Disorders...... 369

Glossary...... 371

Index...... 377

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