Tanı konamamış katapleksi ile giden çocukluk çağı narkolepsi olgusu

Narkolepsi gün içinde aşırı uykulu olma, katapleksi, uyku paralizisi ve hipnogojik varsanılarla karakterize bir uyku bozukluğudur. Narkolepsi belirtileri genellikle çocukluk çağında başlayıp yaşam boyu sürmektedir. Çocuklarda narkolepsi tanısı koymak çoğu zaman zor olabilmekte ve bu bozukluk tanı konulamadan yetişkinliğe kadar sürebilmektedir. Bu yazıda, birçok kliniğe başvurmasına rağmen kesin tanısı konulamayan bir çocukluk çağı narkolepsi olgusu sunulmuştur. Hastanın belirtileri ilk olarak konversiyon bozukluğu ile ilişkilendirilmiş ve bu nedenle hastaya uygunsuz bir tedavi başlanmıştır. Ancak, polisomnografi uygulandıktan sonra narkolepsi tanısı konulmuş ve stimulan tedavisine geçilmiştir.

An under-recognized case of childhood narcolepsy with cataplexy

Narcolepsy is a type of dyssomnia characterized by excessive daytime sleepiness, cataplexy, sleep paralysis, and hypnagogic hallucinations. The signs of narcolepsy usually begin during the teenage years and it persists throughout the lifetime. Diagnosing narcolepsy in children can be challenging and the disorder can remain undiagnosed until adulthood. We describe here a case of childhood narcolepsy with cataplexy who was not diagnosed accurately during several admissions. The patient's signs were initially related to conversion disorder and she took inappropriate medications. However, after a polysomnography, the diagnosis of narcolepsy was established and she was treated appropriately with stimulant medications.

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