Circadian rhythm sleep disorders (CRSD)

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Circadian rhythm sleep disorders (CRSD). This manifests as difficulty initiating sleep. Fully referenced neurology checklist.

Delayed sleep phase disorder (DSPD)

  • This manifests as difficulty initiating sleep
  • It delays the onset of major sleep periods
  • Subjects sleep and wake late
  • It is especially common in younger people: usually teenagers
  • There is a family history in about 40% of cases

Advanced sleep phase disorder (ASPD)

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Free running

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Irregular sleep-wake rhythm (ISWR)

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Jet lag disorder

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Shift work disorder: features

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Other causes of CRSDs

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Treatments 

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References

  1. Bjorvatn B, Pallesen S. A practical approach to circadian rhythm sleep disorders. Sleep Med Rev 2009; 13:47-60.
  2. Martinez D, Lenz M do CS. Circadian rhythm sleep disorders. Indian J Med Res 2010; 131:141-149.
  3. Wilson SJ, Nutt DJ, Argyropoulos SV, et al. British Association for Psychopharmacology consensus statement on evidence-based treatment of insomnia, parasomnias and circadian rhythm disorders. J Psychopharmacol 2010; 24:1577-1600.
  4. Montagna P, Provini F, Plazzi G, et al. Bilateral paramedian thalamic syndrome: abnormal circadian wake-sleep and autonomic functions. JNNP 2002; 73:772-774.

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