Schlaflosigkeit und Tagesschläfrigkeit

Insomnia and excessive daytime sleepiness are the most common clinical pictures/symptoms of sleep–wake disorders in the general population. A specific patient history and further diagnostic interventions facilitate a more precise etiological diagnosis in which two or more sleep–wake disorders frequently coexist in one patient. This results in multimodal individual therapeutic approaches. With the aid of two clinical cases, typical constellations relating to insomnia and central hypersomnolence syndromes are described. These are intended to raise awareness for an early diagnosis that is as accurate as possible in order to prevent chronification and abortive treatment attempts.