![]() Recognized as both a disease and a symptom of other diseasesĭisorder of Sleep as an independent category Major sleep disorders were defined following the development of electroencephalography (EEG) in 1924 by Hans Berger.ĭisturbance of sleep was seen as a symptom of other diseases ![]() In the 20th century, increasingly in the last half of it, technological discoveries led to rapid advances in the understanding of sleep and recognition of sleep disorders. Evolution of classifications of sleep disorders Ĭlassification of sleep disorders, as developed in the 19th century, used primarily three categories: insomnia, hypersomnia and nightmare. Circadian rhythm sleep disorders were discovered in 1981 by Weitzman as delayed sleep phase syndrome in contrast to advanced sleep phase syndrome in 1979. Charles Burwell in 1956 recognized obstructive sleep apnea as Pickwickian syndrome. Sir William Osler in 1906 correlated snoring, obesity and somnolence (sleepiness) to Dicken's description of Joe. Insomnias were classified as primary and secondary until 1970 when they were recognized as symptoms of other disorders. Broughton in 1968 developed classification of the arousal disorders as confusional arousals: night terrors and sleep walking. Kleitman in 1939 recognized types of parasomnias as nightmares, night terrors, somniloquy (sleep-talking), somnambulism (sleepwalking), grinding of teeth, jactatians, enuresis, delirium, nonepileptic convulsions and personality dissociation. Roger in 1932 coined the term parasomnia and classified hypersomnia, insomnia and parasomnia. Lehermitte called it paroxysmal hypersomnia in 1930 to differentiate it from prolonged hypersomnia. Westphal, in 1877, described first case of narcolepsy, the name coined later by Gelineu in 1880 in association with cataplexy. Narcolepsy, hypnogogic hallucination, wakefulness and somnolence were mentioned by other authors of the nineteenth century. The first book on sleep was published in 1830 by Robert MacNish it described sleeplessness, nightmares, sleepwalking and sleep-talking. There has, over the last 60 years, occurred a slow confluence of the three major classification systems. The ICD and DSM lump different disorders together, while the ICSD tends to split related disorders into multiple discrete categories. the International Classification of Sleep Disorders (ICSD), an advanced system cultured by the American Academy of Sleep Medicine (AASM) for sleep specialists.the Diagnostic and Statistical Manual of Mental Disorders ( DSM) from the American Psychiatric Association (APA) for psychiatrists and general practitioners, and.the International Classification of Diseases (ICD) developed by the World Health Organization (WHO) and intended for use by general and more specialized practitioners,.Three systems of classification are in use worldwide: Systems for the classification of sleep disorders are used to classify medical disorders related to human sleep patterns. See also: Sleep disorder and Sleep medicine
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