Suzuki H
Nippon Medical School, Department of Neuropsychiatry.
Nihon Rinsho. 1998 Feb;56(2):365-70.
The recurrent hypersomnia is a rare disorder and diagnosed by recurrent episodes of hypersomnia more than 18 hours a day lasting from several days to several weeks. The Kleine-Levin syndrome is a subtype of the recurrent hypersomnia and characterized by excessive eating or hypersexuality. I review the clinical features of recurrent hypersomnia comparing with our own two cases. The slight consciousness disturbance is seemed to cause the hypersomnic state. Several neurophysiological findings also support this hypothesis. Generally, the prognosis of this disorder is good. The psychophysical factor is seemed as a major factor to induce this disorder, therefore to reduce this factor is one of the most important treatment and the lithium carbonate is also useful as a pharmacotherapy. The mechanism of this disorder is still unknown.
发作性睡病是一种罕见的疾病，通过每天超过18小时的发作性嗜睡来诊断，持续数天至数周。克莱恩-莱文综合征是发作性睡病的一种亚型，其特征为暴饮暴食或性欲亢进。我结合我们自己的两例病例回顾了发作性睡病的临床特征。轻微的意识障碍似乎会导致嗜睡状态。一些神经生理学发现也支持这一假设。一般来说，这种疾病的预后良好。心理生理因素似乎是诱发这种疾病的主要因素，因此减少这一因素是最重要的治疗方法之一，碳酸锂作为药物治疗也很有用。这种疾病的机制仍然未知。
