Sleep Neurology: Pearls and Pitfalls for the Practising Neurologist

This clinical review highlights frequent diagnostic and therapeutic errors encountered by neurologists when managing sleep disorders. The authors emphasize that chronic insomnia should primarily be treated with behavioral therapy rather than immediate medication, while also noting that internal clock misalignments are often misidentified as simple sleeplessness. In cases of excessive daytime sleepiness, the text warns against over-relying on the Multiple Sleep Latency Test, as results can be easily skewed by external factors. Furthermore, the source details critical shifts in treating restless legs syndrome, specifically advising against dopamine agonists due to the high risk of symptom worsening. By integrating emerging therapies like orexin agonists, the authors provide a modern framework for distinguishing between various parasomnias and sleep-related movement issues. Overall, the text serves as a practical guide to improving patient outcomes through precise diagnosis and evidence-based management.