Neuropsychiatric Correlates of Narcolepsy
| Autor: | Kholoud Alnakshabandi, S. R. Pandi-Perumal, Ahmed S. BaHammam |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Psychosis
medicine.medical_specialty Comorbidity REM Sleep Behavior Disorder REM sleep behavior disorder 03 medical and health sciences 0302 clinical medicine medicine Humans In patient Psychiatry Cognitive impairment Depression (differential diagnoses) Narcolepsy Mechanism (biology) business.industry medicine.disease 030227 psychiatry Psychiatry and Mental health Psychotic Disorders Anxiety Central Nervous System Stimulants medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Current psychiatry reports. 22(8) |
| ISSN: | 1535-1645 |
| Popis: | The complex nature of narcolepsy symptoms, along with the use of stimulants and anticataplectic medications, poses diagnostic difficulties in terms of underlying neuropsychiatric comorbidities. This study reviews recent evidence for the association between narcolepsy and neuropsychiatric disorders. We also critically analyze studies that have addressed the neuropsychiatric correlates of patients with narcolepsy, with a discussion of the possible pathophysiological mechanisms linking narcolepsy and neuropsychiatric disorders. Neuropsychiatric manifestations are common among patients with narcolepsy as narcolepsy and some neuropsychiatric disorders share common clinical features. This may create challenges in making the correct diagnosis, and hence result in a delay in starting appropriate treatment. Comorbid neuropsychiatric manifestations in patients with narcolepsy include depression, anxiety, psychosis, rapid eye movement (REM) sleep behavior disorder, and cognitive impairment. Although hypocretin deficiency has been proposed as a pathophysiological mechanism underlying both narcolepsy and neuropsychiatric disorders, further research is necessary to identify the exact mechanisms. Narcolepsy patients often manifest comorbid neuropsychiatric symptoms, which makes the diagnosis difficult. Therefore, it is essential to address neuropsychiatric symptoms in the clinical care of patients with narcolepsy. |
| Databáze: | OpenAIRE |
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