Shen Zhongxia, Shuai Yibin, Mou Shaoqi, Shen Yue, Shen Xinhua, Yang Shengliang
School of Medicine, Southeast University, Nanjing, China.
Sleep Medical Center, Huzhou Third Municipal Hospital, The Affiliated Hospital of Huzhou University, Huzhou, China.
Front Psychiatry. 2022 Nov 3;13:942839. doi: 10.3389/fpsyt.2022.942839. eCollection 2022.
Narcolepsy is characterized by uncontrollable excessive daytime sleepiness, paroxysmal cataplexy, sleep paralysis, and hallucinations. It is often misdiagnosed as psychiatric disorders such as depression and schizophrenia, resulting from the overlap in symptoms and a lack of understanding of narcolepsy. In the present study, three cases of narcolepsy misdiagnosed as depression, dissociative disorder, and schizophrenia are presented to emphasize the high occurrence of the misdiagnosis of narcolepsy in clinical practice. The main reasons for this dilemma are attributed to the lack of adequate sleep, medicine, education, as well as specialized professional technicians. A multi-disciplinary team composed of psychiatrists and sleep specialists should be established to deal with this problem.
发作性睡病的特征是无法控制的日间过度嗜睡、发作性猝倒、睡眠麻痹和幻觉。由于症状重叠以及对发作性睡病缺乏了解,它常被误诊为抑郁症和精神分裂症等精神疾病。在本研究中,呈现了三例分别被误诊为抑郁症、分离性障碍和精神分裂症的发作性睡病病例,以强调发作性睡病在临床实践中误诊的高发生率。造成这种困境的主要原因是缺乏充足的睡眠、药物、教育以及专业技术人员。应组建一个由精神科医生和睡眠专家组成的多学科团队来处理这个问题。