title: [Excessive diurnal somnolence--causes, mechanisms, therapeutical approach].
abstract: Excessive diurnal somnolence (EDS) represents the major symptom of sleep apnea syndrome (SAS). It is mainly determined by sleep fragmentation due to repetitive arousals following the episodes of nocturnal apneas and it is aggravated by the associated hypoxemia/hypercapnia. The EDS related decreased vigilance has 3 types of consequences: psychological (decreased capability of attention and concentration, increased of the response time to stimuli, irritability), motor (physical performance impairment, automatic behaviour) and social (accidents, decreased working performance). EDS evaluation relies on non-instrumental and instrumental strategies which are comprehensively presented. The therapy of EDS implies causes recognition and treatment, optimization of sleep hygiene and psychological advise.
authors.affiliation: Catedra de Pneumologie, Universitatea de Medicină şi Farmacie Victor Babeş Timişoara. mihaicuta@yahoo.com
authors.forename: Stefan
authors.initials: S
authors.lastname: Mihăicuţă
authors.forename: Danina
authors.initials: D
authors.lastname: Muntean
authors.forename: Diana
authors.initials: D
authors.lastname: Krohn
authors.forename: Monica
authors.initials: M
authors.lastname: Marc
authors.forename: Ovidiu
authors.initials: O
authors.lastname: Firă-Mlădinescu
authors.forename: Voicu
authors.initials: V
authors.lastname: Tudorache
mesh_terms: D003376:Counseling; D006970:Disorders of Excessive Somnolence / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D020920:Dyssomnias / Q000517:prevention & control; D006801:Humans; D009290:Narcolepsy / Q000209:etiology; D017286:Polysomnography; D012307:Risk Factors; D012891:Sleep Apnea Syndromes / Q000150:complications / Q000628:therapy; D011795:Surveys and Questionnaires