Psychogenically induced narcolepsy

• Published in: Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova Vol. 119; no. 9; p. 99
• Main Authors: Likhachev, S A, Chechyk, N M, Haliyeuskaya, O V, Rushkevich, Yu N
• Format: Journal Article
• Language: English; Russian
• Published: Russia (Federation) 2019
• Subjects: Female; Humans; Narcolepsy - diagnosis; Narcolepsy - psychology; Polysomnography; Quality of Life; Sleep; Sleep, REM; Young Adult; polysomnography; clinical case; narcolepsy; multiple sleep latency test
• ISSN: 1997-7298
• DOI: 10.17116/jnevro201911909199

Based on own clinical experience in diagnostics and treatment of 4 patients, the authors describe main clinical presentations of narcolepsy. A case report of a 20-year female patient with psychogenic narcolepsy induced by a conflict in the family is described in details. According to polysomnography and Multiple Sleep Latency Test, a reduction in latency to sleep is 22 sec - 3 min 30 sec and the time of occurrence of REM sleep is 7 min 30 sec. The diagnosis is made on the basis of diagnostic criteria of narcolepsy. On average, it takes about 7-10 years to diagnose narcolepsy that reduces the quality of life of patients and leads to social and household maladaptation. Physicians should be wary of early identification of this disease for dynamic monitoring, the appointment of symptomatic therapy, prevention of anxiety and depression and the generation of behavior algorithm in the patient and his relatives in order to maximize social and household adaptation.