Narcolepsy: clinical features

Evidence-based neurology checklist on narcolepsy: clinical features: Epidemiological features Narcolepsy usually starts in adolescence The onset age is 15-40 years It is slightly more frequent in males It may be triggered by H1N1 influenza virus infection and immunisation Excessive sleepiness…

Epidemiological features

  • Narcolepsy usually starts in adolescence
  • The onset age is 15-40 years
  • It is slightly more frequent in males
  • It may be triggered by H1N1 influenza virus infection and immunisation

Excessive sleepiness

Cataplexy

Sleep paralysis

Hypnagogic hallucinations

Sleepiness-related daytime symptoms

Complex sleep-onset movements

Associated sleep disorders

Other reported associated disorders

References

  1. Zeman A, Britton T, Douglas N, et al. Narcolepsy and excessive daytime sleepiness. BMJ 2004; 329:724-728.
  2. Reading P. The neurological sleep clinic Part 1: the sleepy patient. ACNR 2008; 8:6-9.
  3. Plazzi G, Pizza F, Palaia V, et al. Complex movement disorders at disease onset in childhood narcolepsy with cataplexy. Brain 2011; 134:3480-3492.
  4. Stores G. Clinical diagnosis and misdiagnosis of sleep disorders. JNNP 2007; 78:1293-1297.
  5. Fontana A, Gast H, Reith W, et al. Narcolepsy: autoimmunity, effector T cell activation due to infection, or T cell independent major histocompatibility complex class II induced neuronal loss? Brain 2010; 133:1300-1311.
  6. And 14 more. Subscribe to see the full list

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