Psychogenic Seizure Imitating Narcolepsy
| Autor: | Sergey A Makarov, Galina M Diukova, V. L. Golubev, Ruslana R Tyutina, Daniil A Degterev, Alexey B. Danilov |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Multiple Sleep Latency Test
Weakness Pediatrics medicine.medical_specialty functional neurological disorders Polysomnography lcsh:RC346-429 03 medical and health sciences 0302 clinical medicine Psychogenic non-epileptic seizures medicine Psychogenic disease Ictal 030212 general & internal medicine lcsh:Neurology. Diseases of the nervous system medicine.diagnostic_test business.industry pseudonarcolepsy psychogenic non-epileptic seizures medicine.disease Psychogenic Seizure Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery Single Case − General Neurology Narcolepsy |
| Zdroj: | Case Reports in Neurology, Vol 12, Iss 3, Pp 472-481 (2020) Case Reports in Neurology |
| ISSN: | 1662-680X |
| DOI: | 10.1159/000510517 |
| Popis: | Psychogenic or functional neurological disorders (FND) often occur in the practice of a neurologist. Diagnosis of FND usually causes significant difficulties. Among FND, psychogenic non-epileptic seizures (PNES) comprise around 40% cases. Sometimes it is necessary to differentiate PNES from narcolepsy. We describe a 55-year-old man with frequent brief and sudden sleep-like attacks in combination with nocturnal sleep disturbance. During attacks he was unresponsive, snoring but maintained posture. He resisted passive eye opening but with rolling eyes. The patient was confused on waking. In the interictal period, there were FND signs including give-way weakness of the left hand, typical functional “leg-dragging” gait, mistake in the finger-to-nose test. Video-electroencephalogram monitoring did not detect specific epileptic activity or sleep pattern during the attacks. Polysomnography showed multiple waking episodes during the night, but no typical pattern of narcolepsy was found in the multiple sleep latency test. The patient had frequent urgent hospitalizations due to different diseases and numerous invasive procedures. Six month later, the patient obtained state related disability financial benefit, after which hospitalizations in various hospitals continued, and PNES became shorter and less pronounced. |
| Databáze: | OpenAIRE |
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