PT - JOURNAL ARTICLE AU - Benbadis, Selim R. TI - Daytime sleepiness: When is it normal? When to refer? DP - 1998 Nov 01 TA - Cleveland Clinic Journal of Medicine PG - 543--549 VI - 65 IP - 10 4099 - http://www.ccjm.org/content/65/10/543.short 4100 - http://www.ccjm.org/content/65/10/543.full SO - Cleve Clin J Med1998 Nov 01; 65 AB - Most disorders that cause daytime sleepiness can and should be identified and treated. Physicians should recognize that excessive daytime sleepiness is a symptom with serious consequences, including higher risk of accidents and, in the case of obstructive sleep apnea, hypertension, stroke, myocardial infarction, and death. An algorithm for office-based evaluation, indications for further testing, and sleep lab testing methods are described.