The aim of this study was to investigate whether fatigue and sleep dis
turbances in multiple sclerosis (MS) patients might be due to disrupte
d circadian sleep wake regulation. Actigraphy and a multiple sleep lat
ency test (MSLT) were performed in 16 MS patients with both prominent
sleep complaints and fatigue. Actigraphy scores did not differ from co
ntrol values, whereas sleep onset latency values were altered in subgr
oups of MS patients. No evidence was found for a generalized circadian
disturbance in MS patients.