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[克莱恩-莱文综合征。女性病例及随访]

[Kleine-Levin syndrome. Female cases and catamneses].

作者信息

Wenzel U

出版信息

Fortschr Neurol Psychiatr Grenzgeb. 1976 Apr;44(4):137-50.

PMID:1063113
Abstract

The Kleine-Levin syndrome (periodic hypersomnia and megaphagia in adolescence) was considered till 1962 to be a disorder limited to the male adolescents. Since 1924, however, a few female cases have been reported about. These, being approximately 20 patients, are registered by their essential symptoms together with 2 additional cases observed by the author. Moreover, prospective catamneses, covering periods of more than 12 years, were described for the first time. Probably, the Kleine-Levin-syndrome is the product of disturbed functions involving structures of hypothalamus and the reticular system. The syndrome seems to belong to the same groups of periodical diseases as migraine: in particular it exhibits similar relations to the genital cycle. Therapeutical success was attained by administration of amphetamines. In course of time, the episodes become spontaneously rarer and mostly cease.

摘要

克莱恩-莱文综合征(青春期周期性嗜睡和贪食症)在1962年以前被认为是一种仅限于男性青少年的疾病。然而,自1924年以来,已有一些女性病例的报道。这些病例约有20例,连同作者观察到的另外2例,均按其主要症状进行了登记。此外,首次描述了长达12年以上的前瞻性随访情况。克莱恩-莱文综合征可能是下丘脑和网状系统结构功能紊乱的产物。该综合征似乎与偏头痛属于同一类周期性疾病:特别是它与生殖周期表现出相似的关系。使用苯丙胺治疗取得了成功。随着时间的推移,发作会自发地变得越来越少,并且大多会停止。

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