Pseudo status cataplecticus in narcolepsy type 1

Candace N. Meinen, Kelsey M. Smith, Jan-Mendelt Tillema, Suresh Kotagal

Research output: Contribution to journalArticle

Abstract

The rare constellation of multiple episodes of cataplexy that are refractory to therapy is called status cataplecticus. We describe a young adult with known narcolepsy type 1 who reported a marked exacerbation of her symptoms that was initially suspicious for status cataplecticus. Neurological evaluation, polysomnography, and additional history revealed that the spells were not consistent with cataplexy, but rather with a somatoform disorder. The case highlights the importance of considering psychosomatic factors in narcolepsy type 1 when presumed cataplexy remains suboptimally controlled despite adequate dosing with appropriate medications.

Original languageEnglish (US)
Pages (from-to)1625-1627
Number of pages3
JournalJournal of Clinical Sleep Medicine
Volume14
Issue number9
DOIs
StatePublished - Sep 15 2018

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Cataplexy
Somatoform Disorders
Polysomnography
Young Adult
History
Narcolepsy 1
Therapeutics

Keywords

  • Cataplexy
  • Functional neurologic disorder
  • Narcolepsy
  • Pseudocataplexy

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Neurology
  • Clinical Neurology

Cite this

Pseudo status cataplecticus in narcolepsy type 1. / Meinen, Candace N.; Smith, Kelsey M.; Tillema, Jan-Mendelt; Kotagal, Suresh.

In: Journal of Clinical Sleep Medicine, Vol. 14, No. 9, 15.09.2018, p. 1625-1627.

Research output: Contribution to journalArticle

Meinen, Candace N. ; Smith, Kelsey M. ; Tillema, Jan-Mendelt ; Kotagal, Suresh. / Pseudo status cataplecticus in narcolepsy type 1. In: Journal of Clinical Sleep Medicine. 2018 ; Vol. 14, No. 9. pp. 1625-1627.
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