Schrader G, Hicks E P
J Nerv Ment Dis. 1984 Jul;172(7):439-41. doi: 10.1097/00005053-198407000-00012.
This report describes a man with narcolepsy, paranoid psychosis, major depression, and tardive dyskinesia. The case illustrates the treatment difficulties such a patient presents and also raises questions about interactions between the putative neurotransmitters involved in each of these conditions. It is suggested that the presence of narcolepsy may facilitate the appearance of unwanted effects of antidepressants and neuroleptics such as psychosis and depression.
本报告描述了一名患有发作性睡病、偏执型精神病、重度抑郁症和迟发性运动障碍的男性。该病例说明了此类患者所面临的治疗困难，同时也引发了关于这些病症各自涉及的假定神经递质之间相互作用的问题。有人认为，发作性睡病的存在可能会促使抗抑郁药和抗精神病药产生诸如精神病和抑郁症等不良效应。
