{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T18:08:04Z","timestamp":1793383684242,"version":"4.5.0"},"reference-count":44,"publisher":"European Respiratory Society (ERS)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur Respir J"],"accepted":{"date-parts":[[2010,9,20]]},"published-print":{"date-parts":[[2011,7]]},"abstract":"<jats:p>The characteristics of residual excessive sleepiness (RES), defined by an Epworth score &gt;10 in adequately treated apnoeic patients, are unknown.<\/jats:p>\n                  <jats:p>40 apnoeic patients, with (n = 20) and without (n = 20) RES, and 20 healthy controls underwent clinical interviews, cognitive and biological tests, polysomnography, a multiple sleep latency test, and 24-h sleep monitoring.<\/jats:p>\n                  <jats:p>\n                    The marked subjective sleepiness in the RES group (mean\u00b1\n                    <jats:sc>sd<\/jats:sc>\n                    score 16.4\u00b13) contrasted with moderately abnormal objective measures of sleepiness (90% of patients with RES had daytime sleep latencies &gt;8 min). Compared with patients without RES, the patients with RES had more fatigue, lower stage N3 percentages, more periodic leg movements (without arousals), lower mean sleep latencies and longer daytime sleep periods. Most neuropsychological dimensions (morning headaches, memory complaints, spatial memory, inattention, apathy, depression, anxiety and lack of self-confidence) were not different between patients with and without RES, but gradually altered from controls to apnoeic patients without and then with RES.\n                  <\/jats:p>\n                  <jats:p>RES in apnoeic patients differs markedly from sleepiness in central hypersomnia. The association between RES, periodic leg movements, apathy and depressive mood parallels the post-hypoxic lesions in noradrenaline, dopamine and serotonin systems in animals exposed to intermittent hypoxia.<\/jats:p>","DOI":"10.1183\/09031936.00040410","type":"journal-article","created":{"date-parts":[[2011,3,15]],"date-time":"2011-03-15T22:35:11Z","timestamp":1300228511000},"page":"98-105","source":"Crossref","is-referenced-by-count":92,"title":["Residual sleepiness in obstructive sleep apnoea: phenotype and related symptoms"],"prefix":"10.1183","volume":"38","author":[{"given":"C.","family":"Vernet","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Redolfi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Attali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Konofal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Brion","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Frija-Orvoen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Pottier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Similowski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Arnulf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"81","published-online":{"date-parts":[[2011,3,15]]},"reference":[{"key":"2024101814534818000_38.1.98.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2008.07.002"},{"key":"2024101814534818000_38.1.98.2","first-page":"CD001106","article-title":"Continuous positive airways pressure for obstructive sleep apnoea in adults","volume":"1","author":"Giles","year":"2006","journal-title":"Cochrane Database Syst Rev"},{"key":"2024101814534818000_38.1.98.3","doi-asserted-by":"publisher","DOI":"10.1378\/chest.119.1.45"},{"key":"2024101814534818000_38.1.98.4","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1080\/01688639308402567","article-title":"Persistent neuropsychological deficits and vigilance impairment in sleep apnea syndrome after treatment with continuous positive airways pressure (CPAP)","volume":"15","author":"Bedard","year":"1993","journal-title":"J Clin Exp Neuropsychol"},{"key":"2024101814534818000_38.1.98.5","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00016808"},{"key":"2024101814534818000_38.1.98.6","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1093\/sleep\/27.2.194","article-title":"Long-term intermittent hypoxia in mice: protracted hypersomnolence with oxidative injury to sleep-wake brain regions","volume":"27","author":"Veasey","year":"2004","journal-title":"Sleep"},{"key":"2024101814534818000_38.1.98.7","unstructured":"American Academy of Sleep Medicine. 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