Pseudo status cataplecticus in narcolepsy type 1

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

Research output: Contribution to journalArticle

2 Scopus citations

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

Keywords

  • Cataplexy
  • Functional neurologic disorder
  • Narcolepsy
  • Pseudocataplexy

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Neurology
  • Clinical Neurology

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