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 language | English (US) |
---|---|
Pages (from-to) | 1625-1627 |
Number of pages | 3 |
Journal | Journal of Clinical Sleep Medicine |
Volume | 14 |
Issue number | 9 |
DOIs | |
State | Published - Sep 15 2018 |
Keywords
- Cataplexy
- Functional neurologic disorder
- Narcolepsy
- Pseudocataplexy
ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine
- Neurology
- Clinical Neurology