A |
at least two recurrent episodes of excessive sleepiness, each persisting for 2 days to 5 weeks, |
B |
episodes recur at least 1 per 18 months |
C |
normal alertness, cognitive function, behavior, and mood between episodes |
In addition to the recurrent hypersomnia, the patient should also have at least one of the following: |
1. Hyperphagia |
2. Hypersexuality |
3. Abnormal behavior—irritability, aggression |
4. Cognitive abnormalities—ex confusion, derealization, hallucinations |
5. Hypersomnolence and related symptoms are not better explained by another sleep disorder, other medical, neurologic, or psychiatric disorder (especially bipolar disorder), or use of drugs or medications. |