2012, Number 2
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Acta Med 2012; 10 (2)
Narcolepsy as partial epilepsy
Martínez EA, Reyes FJL
Language: Spanish
References: 18
Page: 96-98
PDF size: 271.91 Kb.
ABSTRACT
Narcolepsy is a chronic disease that presents with delay in diagnosis by the type of symptoms associated with it, affecting the quality of life of patients. A case of a male 18 years old, the patient begun at 11 years old with sudden episodes of muscle tone in the four limbs in all four limbs, retaining consciousness, he was treated with anticonvulsants for probable partial epilepsy for several years without improvement, to increase excessive daytime sleepiness and school dysfunction was considered the diagnosis of narcolepsy, therefore performed polysomnography demonstrating a sleep onset latency at seven minutes, REM sleep latency at 70 minutes, sleep MOR 30% and positive multiple sleep latency test with a sleep onset latency at five minutes and REM sleep latency at 7 minutes where confirms narcolepsy.
REFERENCES
De la Herrán-Arita AK, Guerra-Crespo M, Drucker-Colín R. Narcolepsy and orexins: an example of progress in sleep research. Front Neurol 2011; 2: 1-8.
Schenck CH, Bassetti CL, Arnulf I, Mignot E. English translations of the first clinical reports on narcolepsy and cataplexy by Westphal and Gélineau in the late 19th century, with commentary. J Clin Sleep Med 2007; 3: 301-311.
Droogleever FHA, Mulders PC, Renier WO, Buitelaar JK et al. Narcolepsy and psychiatry: An evolving association of increasing interest. Sleep Med 2011; 12: 714-719.
Longstreth WT Jr, Koepsell TD, Ton TG, Hendrickson AF et al. The epidemiology of narcolepsy. Sleep 2007; 30: 13-26.
Dodel R, Peter H, Walbert T, Spottke A et al. The socioeconomic impact of narcolepsy. Sleep 2004; 27: 1123-1128.
The International Classification of Sleep Disorder. 2nd edition. Westchester, IL, USA: American Academy of Sleep Medicine; 2007.
De La Herrán-Arita AK, Zomosa-Signoret VC, Millán-Aldaco DA, Palomero-Rivero M et al. Aspects of the narcolepsy-cataplexy syndrome in O/E3-null mutant mice. Neuroscience 2011; 183: 134-143.
Thorpy MJ. Furthering the understanding of the pathophysiology of narcolepsy. Curr Neurol Neurosci Rep 2011; 11: 127-130.
Goel N, Banks S, Mignot E, Dinges DF. DQB1*0602 predicts interindividual differences in physiologic sleep, sleepiness, and fatigue. Neurology 2010; 75: 1509-1519.
Pabón RM, García GI, Ramos-Argüelles F, Gila L et al. Narcolepsia. Una enfermedad infradiagnosticada. XLVI Reunión de la Sociedad Española de Neurofisiología. Clínica Rev Neurol 2008; 47: 547-555.
Terzaghi M, Ratti PL, Manni F, Manni R. Sleep paralysis in narcolepsy: more than just a motor dissociative phenomenon? Neurol Sci 2011; 7: 1-4.
Stores G. Clinical diagnosis and misdiagnosis of sleep disorders. J Neurol Neurosurg Psychiatry 2007; 78: 1293-1297.
Ohayon MM, Priest RG, Zulley J, Smirne S et al. Prevalence of narcolepsy symptomatology and diagnosis in the European general population. Neurology 2002; 58: 1826-1833.
Morrish E, King MA, Smith IE, Shneerson JM. Factors associated with a delay in the diagnosis of narcolepsy. Sleep Med 2004; 5: 37-41.
Sullivan SS. Narcolepsy in adolescents. Adolesc Med State Art Rev 2010; 21: 542-555.
Littner MR, Kushida C, Wise M, Davila DG et al. Practice parameters for clinical use of the multiple sleep latency test and the maintenance of wakefulness test. Standards of Practice Committee of the American Academy of Sleep Medicine. Sleep 2005; 28: 113-121.
Aran A, Einen M, Lin L, Plazzi G et al. Clinical and therapeutic aspects of childhood narcolepsy-cataplexy: a retrospective study of 51 children. Sleep 2010; 33: 1457-1464.
Morgenthaler TI, Kapur VK, Brown T, Swick TJ et al. Practice parameters for the treatment of narcolepsy and other hypersomnias of central origin. Standards of Practice Committee of the American Academy of Sleep Medicine. Sleep 2007; 30: 1705-1711.