Management of sleep disorder

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Ron D. is a 67-year-old man who has been referred by his primary care provider for management of sleep disorder. He has seen his PCP many times complaining of insomnia. He reports that he lays in bed for hours every night before falling asleep and then often wakes up every 90 minutes, sometimes staying awake for more than an hour before he goes back to sleep. He has been trialed on both zolpidem (Ambien) and zaleplon (Sonata) without improvement. Polysomnography did not support the pattern of sleep described by Ron. During his sleep study, he reported the same complaints, while the objective test results indicated that he fell asleep in < 15 minutes with a total sleep time > 7 hours and 93% sleep efficiency. What diagnosis would you make?

Reference no: EM132470756

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