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Circadian Rhythm Sleep Wake Disorders

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Paediatric Sleep Disorders

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Abstract

Johnny is a 17 years old boy who was referred to the sleep clinic because of chronic “refractory insomnia” and daytime sleepiness. He was not able to get up in the morning and was often late for school. He missed over 80% of his morning class and school warned him for dismissal. He has very irregular sleep wake schedule. On school days, he struggles to get up at around 9 a.m. He falls asleep only at 3 a.m. despite he went to bed at 12 a.m. Because of the sleep deprivation, he often dozes off in the morning class and has academic deterioration. On the free day, he falls asleep at 3–4 a.m. and gets up at 11–12 a.m., he feels refreshed after waking with adequate sleep duration and quality. He has been prescribed hypnotics and sedative antidepressants for his complaint of persistent difficulty in initiating sleep but had limited improvement. He otherwise enjoys good past health. He has no symptoms of other sleep problems and no prominent mood disturbance.

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Authors and Affiliations

  1. Li Chiu Kong Sleep Assessment Unit, Department of Psychiatry, The Chinese University of Hong Kong, Shatin, Hong Kong SAR

    Joey W. Y. Chan

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  1. Joey W. Y. Chan
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Correspondence to Joey W. Y. Chan .

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Editors and Affiliations

  1. Department of Paediatrics, The Chinese University of Hong Kong, Shatin, Hong Kong

    Albert Martin Li

  2. Department of Paediatrics, The Chinese University of Hong Kong, Hong Kong, China

    Kate Ching-ching Chan

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Chan, J.W.Y. (2022). Circadian Rhythm Sleep Wake Disorders. In: Li, A.M., Chan, K.Cc. (eds) Paediatric Sleep Disorders. Springer, Singapore. https://doi.org/10.1007/978-981-19-5791-8_12

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  • DOI: https://doi.org/10.1007/978-981-19-5791-8_12

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-19-5790-1

  • Online ISBN: 978-981-19-5791-8

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