Wygnanski T, Kokia E, Barak P, Terlo L, Caine Y G
Israel Air Force Aeromedical Center, Tel-Aviv.
Aviat Space Environ Med. 1996 Jan;67(1):61-2.
We present the case of an aviator with Kleine Levin syndrome (KLS). History, physical examination, and special studies presented confirm the diagnosis of this syndrome. Our patient presented as an atypical case of KLS with respect to the presenting symptoms and to frequency of the episodes (6 years apart). He exhibited only intense somnolence, easy arousability, photophobia, hyperacousis, and a voracious appetite. Following a complete medical work up we recommended that an applicant with such a classical case of KLS be disqualified as a crewmember; however, in cases such as that presented above a limited waiver may be considered. The aeromedical significance of this case is to reinforce the importance of screening candidates and seeking precise diagnosis of a past illness or hospitalization.
我们报告一例患有克莱恩-莱文综合征（KLS）的飞行员病例。病史、体格检查及相关专项检查均证实了该综合征的诊断。就首发症状及发作频率（间隔6年）而言，我们的患者表现为KLS的非典型病例。他仅表现出强烈的嗜睡、易唤醒、畏光、听觉过敏及食欲亢进。在完成全面的医学检查后，我们建议患有如此典型KLS病例的申请者取消其机组人员资格；然而，对于上述此类病例，可考虑给予有限豁免。该病例的航空医学意义在于强化筛查候选人以及对既往疾病或住院情况进行精确诊断的重要性。
