The Joint Commission and American Heart Association / American Stroke Associationâs Comprehensive Stroke Center Certification includes a new and exclusive suite of benefits. The total fee for certifying a Comprehensive Stroke Center will be $55,000 for the two-year certification cycle including: 1  Two day on-site fee of $5,600; and. 2  Annual fees of $24,700.
Excessive daytime sleepiness: A neurological disorder in which there is a sudden recurrent uncontrollable compulsion to sleep. Excessive daytime sleepiness is also known as narcolepsy. The condition is often associated with: 1  Cataplexy -- a sudden loss of muscle tone and paralysis of voluntary muscles associated with a strong emotion. 2  Sleep paralysis -- immobility of the body that occurs in the transition from sleep to wakefulness. 3  Hypnagogic hallucinations -- pre-sleep dreams.
The Most Common Reasons for Excessive Fatigue. Discovering the causes of extreme fatigue can be difficult if you don't know the distinctions between fatigue and sleepiness. Some disorders cause fatigue, others sleepiness, and some disorders cause a mix of these two.