Tuy nhiên, ngay cả khi bệnh nhân được xác nhận có haplotype HLA thích hợp, câu hỏi luôn tồn tại cho dù TBI là yếu tố gây bệnh hoặc một sự kiện kết tủa. TBI hypersomnia sau là một khu vực understudied. Sự phổ biến, giống, liên quan đến rối loạn tâm thần | 376 TEXTBOOK OF TRAUMATIC BRAIN INJURY Epworth Sleepiness Scale Name Today s date Your age yrs Your sex Male M Female F How likely arc you to doze off or fall asleep in the following situations in contrast to feeling just tired This refers to your usual way of life in recent times. Even if you haven t done some of these things recently try to work out how they would have affected you. Use the following scale to choose the most appropriate number for each situation 0 would never doze 1 slight chance of dozing 2 moderate chance of dozing 3 high chance of dozing It is important that you answer each question as best you can. Situation Chance of Dozing 0-3 Sitting and reading __ _ Watching TV _ Sitting inactive in a public place . a theater or a meeting __ As a passenger in a car for an hour without a break _ Lying down to rest in the afternoon when circumstances permit _ Sitting and talking to someone __ Sitting quietly after a lunch without alcohol __ In a car while stopped for a few minutes in the traffic THANK YOU FOR YOUR COOPERATION FIGURE 20-3. Epworth Sleepiness Scale. Source. From Johns MW A New Method for Measuring Daytime Sleepiness The Epworth Sleepiness Scale. Sleep 14 540-545 1991. Revised 1997. Used with permission of Johns. Copyright . Johns 1991-1997. complaints and diagnosed posttraumatic narcolepsy using formal sleep studies such as the polysomnogram PSG and MSLT. We recommend that clinical diagnosis of narcolepsy should always be accompanied by formal sleep studies and HLA typing. However even if a patient is confirmed to have the appropriate HLA haplotype the question always exists whether TBI was the causative factor or a precipitating event. Post-TBI hypersomnia is an understudied area. The prevalence varieties .
