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Diagnosing narcolepsy with cataplexy on history alone: challenging the International Classification of Sleep
I Morrison1, J Bušková, S Nevšimalová
1Department of Neurology, Institute of Neurological Sciences, Glasgow, UK.
Background And Purpose:
The second version of the International Classification of Sleep Disorders suggests narcolepsy with cataplexy can be diagnosed on history alone.
Patients:
Five patients with a history supportive of narcolepsy/cataplexy.
Method:
Case review following clinical investigation.
Results:
None of the five patients had a diagnosis of narcolepsy/cataplexy on the basis of objective testing using polysomnography (PSG) and multiple sleep latency testing (MSLT).
Conclusion:
PSG and MSLT should always be used in conjunction with a comprehensive history taken by an experienced sleep physician to support a diagnosis of narcolepsy with cataplexy and to exclude other conditions that may mimic narcolepsy.
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