Office evaluation of the "tired" or "sleepy" patient

Research output: Contribution to journalArticle

2 Scopus citations


In an outpatient neurologic practice, the patient complaint of being tired is frequently encountered yet often not specifically addressed. Clarifying the symptoms and determining whether the tiredness is the result of excessive daytime sleepiness versus fatigue or weakness is the first step in diagnosing and treating the patient. A detailed neurologic and sleep history and exam can often distinguish among these different symptoms, establish the potential causes of excessive sleepiness, and decide on the additional ancillary tests that may be helpful to determine the underlying etiology. Understanding the etiology of patient's symptoms is necessary to initiate appropriate treatment.

Original languageEnglish (US)
Pages (from-to)42-53
Number of pages12
JournalSeminars in neurology
Issue number1
StatePublished - Feb 24 2011


  • Excessive daytime sleepiness
  • fatigue
  • hypersomnia

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

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