He is a truck driver and is concerned about losing his job if he is diagnosed with an incurable sleep disorder. He is not married and says that no one has ever told him that he snores. He denies taking any medications. A review of his symptoms is negative for headaches. On examination he is an obese man with a short thick neck.
Neurologic examination is normal.
The Epworth sleepiness questionnaire is administered and yields a score of 18. The score of 18 on the Epworth sleepiness questionnaire suggests that further testing should be done. The absence of a history of snoring and headaches rules out the possibility of obstructive sleep apnea. A polysomnogram shows decreased sleep latency. This is specific for obstructive sleep apnea.