Narcolepsy in Adult Patients: Clinical Resources

Epworth Sleepiness Scale | Narcolepsy Severity Scale | Functional Outcomes of Sleep Questionnaire | ICD-10-CM Codes
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Narcolepsy Severity Scale (NSS)

Narcolepsy Severity Scale (NSS)

This scale is a 15-item, self-administered questionnaire that evaluates the severity, frequency, and impact of the 5 main narcolepsy symptoms in adult patients: excessive daytime sleepiness, cataplexy, hypnagogic hallucinations, sleep paralysis, and disrupted nighttime sleep.1

The aim of the NSS is to quantify and monitor symptom severity in patients with a confirmed diagnosis of narcolepsy type 1.1

Questions concerning symptom frequency and intensity are rated from 0 to 5 while questions on the impact on daily life are rated from 0 to 3, with each item being added together for a total score. Higher total scores indicate more severe symptoms.1

While the NSS is focused on assessing symptoms in narcolepsy type 1, a secondary version, the NSS-2, was created to evaluate the symptoms of narcolepsy type 2.2


References

  1. Dauvilliers Y, Barateau L, Lopez R, et al. Narcolepsy Severity Scale: a reliable tool assessing symptom severity and consequences. Sleep. 2020;43(6):zsaa009. doi:10.1093/sleep/zsaa009
  2. Barateau L, Chenini S, Denis C, et al. Narcolepsy Severity Scale-2 and Idiopathic Hypersomnia Severity Scale to better quantify symptoms severity and consequences in narcolepsy type 2. Sleep. 2024;47(5):zsad323. doi:10.1093/sleep/zsad323

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