Narcolepsy in Adolescence — A Missed Diagnosis: A Case Report

We report a case of an adolescent male who presented with all four cardinal symptoms of narcolepsy and had been misdiagnosed with epilepsy, psychosis, and depression. We discuss various issues regarding narcolepsy in children and adolescents. Keywords: narcolepsy, adolescence, misdiagnosis Innov Clin Neurosci. 2017;14(9–10):20–23 Introduction Narcolepsy is an uncommon sleep cycle disorder characterized by the tetrad of chronic excessive daytime sleepiness, cataplexy, hypnagogic hallucinations, and sleep paralysis.1 The cardinal symptom of paroxysmal sleep is seen in all patients, whereas other symptoms such as cataplexy (70%), hypnagogic hallucinations (25%), and sleep paralysis (5%) are less consistent. Usually, patients experience some, but not all, of these four symptoms, and this tetrad occurs in 1.1: significant); he had been vaccinated as per the Universal Immunization Programme (UIP) of India, but details were not available. Throughout the patient’s history, there was no evidence of any first rank symptoms, depressive features, signs and symptoms suggestive of hypothyroidism, tonic-clonic movements, drug abuse, forgetfulness, hyperphagia, hypersexuality, hyperorality, obsessive compulsive symptoms, skin picking behavior, or impulsivity. There was no positive family history of any sleep disorders. His physical examinations revealed no abnormalities, and on mental status examination, he appeared to be very distressed due to his symptoms. However, there ...
Source: Innovations in Clinical Neuroscience - Category: Neuroscience Authors: Tags: Case Report Current Issue adolescence misdiagnosis narcolepsy Source Type: research

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