Insomnia and Sleep Difficulties in Huntington's Disease: First-Line Management

Sleep disorders are common in Huntington's disease. When a patient presents with difficulties in falling asleep and/or early awakenings, a structured first-line approach is indicated.

Clinical scenario

Sleep disorders may present as difficulties in falling asleep and/or early awakenings in the middle of the night followed by insomnia.

First-line approach (partial)

The protocol begins with simple lifestyle and dietary strategies — the full stepwise regimen and decision points are available via the link below.

References

DOI: 10.3389/fneur.2019.00710

Sleep disorders are common in HD. They may present as difficulties in falling asleep and/or early awakenings in the middle of the night followed by insomnia.

Simple lifestyle and dietary strategies (e.g., avoiding long nap, having no stimulants after 4 pm) are the first-line treatment of insomnia.

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