Parasomnia as an Initial Presentation of Narcolepsy
Journal of Sleep Medicine
; : 27-30, 2018.
Article
in Ko
| WPRIM
| ID: wpr-766219
Responsible library:
WPRO
ABSTRACT
Narcolepsy is characterized by excessive daytime sleepiness, cataplexy, sleep paralysis and hypnagogic hallucinations. Only a few studies have focused on non-rapid eye movement (NREM) and REM parasomnias in narcolepsy. We report a narcolepsy without cataplexy patient presenting parasomnia as an initial symptom. A 18-year-old boy was admitted to hospital for abnormal behavior of sitting up during sleep over 2 years. He had a symptom of lethargy without cataplexy and subjective excessive daytime sleepiness, but his family found him often asleep during daytime. He underwent 3 times of polysomnography (PSG) including 1 multiple sleep latency test (MSLT) after the last PSG. The last PSG showed 1 episode of abrupt sitting. Three sleep REM onset period was observed in MSLT which was not detect in PSG. Parasomnia as an initial symptom of narcolepsy is a rare clinical entity. The MSLT may be useful in the evaluation of patients with parasomnia and unexplained hypersomnia.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Cataplexy
/
Polysomnography
/
Parasomnias
/
Sleep Paralysis
/
Sleep Arousal Disorders
/
Lethargy
/
Eye Movements
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Hallucinations
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Disorders of Excessive Somnolence
/
Narcolepsy
Limits:
Adolescent
/
Humans
/
Male
Language:
Ko
Journal:
Journal of Sleep Medicine
Year:
2018
Document type:
Article