What are the three key items that must be scored during an MSLT?

The three key items that must be scored during a Multiple Sleep Latency Test (MSLT) are sleep latencies for each nap, the mean sleep latency across the entire test, and periods of sleep onset rapid eye movement (SOREM).

During the MSLT, patients are given opportunities to nap throughout the day, and the primary outcome measured is how quickly they fall asleep during these scheduled naps. Each nap session's latency, which is the time taken to fall asleep, is recorded. After all the naps are completed, the mean sleep latency is calculated to provide an overall assessment of the individual’s tendency to sleep. SOREM periods are also critical as they indicate whether the individual experiences REM sleep shortly after sleep onset, which can be indicative of certain sleep disorders, most notably narcolepsy.

By focusing on these three key items, clinicians can effectively assess and interpret the results of the MSLT, enabling them to diagnose conditions like narcolepsy or idiopathic hypersomnia accurately.