RT Journal Article SR Electronic T1 Daytime sleepiness: When is it normal? When to refer? JF Cleveland Clinic Journal of Medicine JO Cleve Clin J Med FD Cleveland Clinic SP 543 OP 549 VO 65 IS 10 A1 Benbadis, Selim R. YR 1998 UL http://www.ccjm.org/content/65/10/543.abstract 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.