Drowsiness

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Classification according to ICD-10
F51.8 Other non-organic sleep disorders
G47.8 Other sleep disorders
ICD-10 online (WHO version 2019)

Sleep intoxication is a state of psychomotor slowdown with reduced cognitive performance and disorientation regarding time and location after waking up.

Although those affected appear to be awake, the perception and processing of external stimuli and the reaction to them are limited. Actions may appear targeted, but they are often inadequate. Speaking is sluggish. The duration of this state is up to about 15 minutes. Subsequently, those affected cannot remember this period of time or only partially. Sleep intoxication occurs after spontaneous awakening or awakening from deep sleep, but can also occur when awakening in the morning or during daytime sleep.

In sleep medicine, intoxication is one of the sleep disorders and belongs to the group of parasomnias . It is an arousal disorder and is associated with non-REM sleep (also known as NREM sleep). In studies, the EEG shows the beginning of slow-wave sleep after an arousal, followed by an unstable waking EEG with sleep-typical elements from sleep stage N1 .

Sleep intoxication occurs in up to 17% of children up to the age of 13 and in 4% of adults in a familial manner and in men and women equally.

Forced awakening, shift work , sleep deprivation, or drug and alcohol addiction are believed to promote the occurrence of intoxication .

As a secondary finding, intoxication with sleep is found in other sleep disorders such as obstructive sleep apnea syndrome , idiopathic hypersomnia with long sleep duration and circadian sleep-wake rhythm disorders .

therapy

Prevention is the main focus of therapy. Those affected should follow the rules of sleep hygiene and adhere to fixed times for the sleep-wake rhythm.

Individual evidence

  1. S3 guideline for non-restful sleep / sleep disorders of the German Society for Sleep Research and Sleep Medicine (DGSM). In: AWMF online (as of 2009)