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Cureus. 2018 Dec 31;10(12):e3801. doi: 10.7759/cureus.3801.
2
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本文引用的文献

1
Off-label Sodium Oxybate in Childhood Narcolepsy: A Comprehensive Report.儿童发作性睡病中使用非标签用药羟丁酸钠:一份综合报告。
Cureus. 2018 Apr 24;10(4):e2526. doi: 10.7759/cureus.2526.
2
The Medical and Economic Burden of Narcolepsy: Implications for Managed Care.发作性睡病的医疗与经济负担:对管理式医疗的影响
Am Health Drug Benefits. 2017 Jul;10(5):233-241.
3
Current and Future Treatment Options for Narcolepsy: A Review.发作性睡病的当前及未来治疗选择:综述
Sleep Sci. 2017 Jan-Mar;10(1):19-27. doi: 10.5935/1984-0063.20170004.
4
Psychosocial Profile and Quality of Life in Children With Type 1 Narcolepsy: A Case-Control Study.1型发作性睡病患儿的心理社会状况及生活质量:一项病例对照研究。
Sleep. 2016 Jul 1;39(7):1389-98. doi: 10.5665/sleep.5970.
5
H1N1 infection of sleep/wake regions results in narcolepsy-like symptoms.甲型H1N1流感病毒感染睡眠/觉醒区域会导致发作性睡病样症状。
Proc Natl Acad Sci U S A. 2016 Jan 19;113(3):476-7. doi: 10.1073/pnas.1524150113. Epub 2016 Jan 8.
6
Antibodies to influenza nucleoprotein cross-react with human hypocretin receptor 2.抗流感核蛋白抗体与人脑肠肽受体 2 发生交叉反应。
Sci Transl Med. 2015 Jul 1;7(294):294ra105. doi: 10.1126/scitranslmed.aab2354.
7
Primary progressive narcolepsy type 1: the other side of the coin.原发性进行性1型发作性睡病:硬币的另一面。
Neurology. 2014 Dec 2;83(23):2189-90. doi: 10.1212/WNL.0000000000001051. Epub 2014 Oct 29.
8
The Burden of Narcolepsy Disease (BOND) study: health-care utilization and cost findings.发作性睡病疾病负担(BOND)研究:医疗保健利用情况及成本研究结果。
Sleep Med. 2014 May;15(5):522-9. doi: 10.1016/j.sleep.2014.02.001. Epub 2014 Feb 15.
9
The economic consequences of narcolepsy.嗜睡症的经济学后果。
J Clin Sleep Med. 2009 Jun 15;5(3):240-5.

一例表现为晕厥的发作性睡病儿科病例。

A Pediatric Case of Narcolepsy Presenting as Syncope.

作者信息

Miskoff Jeffrey A, Chaudhri Moiuz

机构信息

Internal Medicine, Jersey Shore University Medical Center, Neptune City, USA.

出版信息

Cureus. 2018 Dec 31;10(12):e3801. doi: 10.7759/cureus.3801.

DOI:10.7759/cureus.3801
PMID:30868015
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6402730/
Abstract

Narcolepsy is a chronic genetic and sleep disorder that is caused by a protein deficiency. This may affect the patients' sleep architecture and the brain's ability to control circadian rhythms. Individuals with this condition feel rested after waking but then feel tired and sleepy as the day progresses. Typical onset is during adolescence, but there is often a significant delay in diagnosis, which may markedly hinder an individual's quality of life. This case provides an opportunity to shed light on this often underdiagnosed or misdiagnosed condition by presenting a case of a remarkable individual who has persevered to be successful with the help of a timely diagnosis and aggressive off-label therapy.

摘要

发作性睡病是一种由蛋白质缺乏引起的慢性遗传性睡眠障碍。这可能会影响患者的睡眠结构以及大脑控制昼夜节律的能力。患有这种疾病的人醒来后会感觉休息好了,但随着一天的推进,会感到疲倦和困倦。典型发病期在青春期,但诊断往往会有显著延迟,这可能会明显妨碍个人的生活质量。本病例通过呈现一位非凡个体的案例,为揭示这种经常未被诊断或误诊的疾病提供了一个契机。该个体在及时诊断和积极的超说明书治疗的帮助下坚持并取得了成功。