Diagnosing narcolepsy with cataplexy on history alone: challenging the International Classification of Sleep Disorders (ICSD-2) criteria

I. Morrison, J. Buskova, S. Nevsimalova, N. J. Douglas, R. L. Riha*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)1017-1020
Number of pages4
JournalEuropean Journal of Neurology
Volume18
Issue number7
DOIs
Publication statusPublished - Jul 2011

Keywords / Materials (for Non-textual outputs)

  • cataplexy
  • multiple sleep latency testing
  • narcolepsy
  • pseudonarcolepsy
  • somatoform disorders
  • PRACTICE PARAMETERS
  • CLINICAL-USE
  • EPIDEMIOLOGY
  • VALIDATION
  • MANAGEMENT
  • UPDATE

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