Mayo Clinic, Rochester, Minnesota.
J Clin Sleep Med. 2018 Sep 15;14(9):1625-1627. doi: 10.5664/jcsm.7350.
The rare constellation of multiple episodes of cataplexy that are refractory to therapy is called . We describe a young adult with known narcolepsy type 1 who reported a marked exacerbation of her symptoms that was initially suspicious for . 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.
这种罕见的多发性猝倒症，即使经过治疗也无法缓解，被称为难治性猝倒症。我们描述了一位年轻的成年患者，她患有已知的 1 型发作性睡病，报告称其症状明显恶化，最初怀疑是难治性猝倒症。神经学评估、多导睡眠图和其他病史显示，这些发作与猝倒症不一致，而是与躯体形式障碍有关。该病例强调了在 1 型发作性睡病患者中，当假定的猝倒症尽管使用适当的药物进行了充分的剂量治疗，但仍未得到最佳控制时，考虑心身因素的重要性。
