A Case Report of Narcolepsy with Partial Cataplexy Misdiagnosed as Epilepsy


Senel G. B. , Karadeniz D.

JOURNAL OF TURKISH SLEEP MEDICINE-TURK UYKU TBB DERGISI, cilt.2, ss.22-24, 2015 (ESCI İndekslerine Giren Dergi) identifier

  • Cilt numarası: 2 Konu: 1
  • Basım Tarihi: 2015
  • Doi Numarası: 10.4274/jtsm.02.006
  • Dergi Adı: JOURNAL OF TURKISH SLEEP MEDICINE-TURK UYKU TBB DERGISI
  • Sayfa Sayıları: ss.22-24

Özet

Cataplexy is present in 70% of narcolepsy patients; narcolepsy with cataplexy is now named as narcolepsy type 1 in recent classification of sleep disorders. Cataplexy is defined as short lasting decrease or loss of muscle tone. Here we present a 9-year-old girl misdiagnosed as epilepsy due to distortion in her face but diagnosed to have narcolepsy type 1 and partial cataplexy. In detail questioning, loss of muscle tone in her facial muscles and facial distortion occurred for a short time upon tiredness and in association with daytime sleepiness without any unconsciousness. No response was observed with antiepileptic agents, but they totally resolved upon administration of anticataplectic therapy.