"I'm always sleepy, am I ill?" – Case report of narcolepsy in adolescence
AIMS: Excessive daytime sleepiness is relatively common in adolescence, and rarely has a pathological etiology. The authors report a case of excessive daytime sleepiness due to narcolepsy in a teenager, and a review of the literature about this disease. CASE DESCRIPTION: A 16 year-old adolescent, fe...
| Autores: | , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2014 |
| País: | Brasil |
| Institución: | Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
| Repositorio: | Scientia Medica (Porto Alegre. Online) |
| Idioma: | portugués |
| OAI Identifier: | oai:ojs.revistaseletronicas.pucrs.br:article/15877 |
| Acceso en línea: | https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1980-6108.2014.1.15877 |
| Access Level: | acceso abierto |
| Palabra clave: | REM SLEEP PARASOMNIAS DISORDERS OF EXCESSIVE SOMNOLENCE NARCOLEPSY ADOLESCENCE. PARASSONIAS DO SONO REM DISTÚRBIOS DO SONO POR SONOLÊNCIA EXCESSIVA NARCOLEPSIA ADOLESCÊNCIA. |
| Sumario: | AIMS: Excessive daytime sleepiness is relatively common in adolescence, and rarely has a pathological etiology. The authors report a case of excessive daytime sleepiness due to narcolepsy in a teenager, and a review of the literature about this disease. CASE DESCRIPTION: A 16 year-old adolescent, female, since one year ago with excessive daytime sleepiness and microsleeps during her daily activities, despite adequate sleep hygiene. Physical examination was normal. Analytical study, electroencephalogram and polysomnography unremarkable. The multiple sleep latency test revealed a sleep latency of 4:22 minutes and two REM (Rapid Eye Movement) periods at sleep onset (SOREMp), suggestive of severe hypersomnia with criteria of narcolepsy. Treatment with modafinil was started, with favorable outcome. CONCLUSIONS: Narcolepsy is a rare and under diagnosed disorder in children. The disease has a negative impact on the child’s emotional, behavioral and school/work life, which can be minimized by an adequate and timely diagnosis and therapeutics. |
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