Kleine–Levin Syndrome: A case report

The Kleine–Levin Syndrome is a differential diagnosis for patients with diurnal excessive sleepiness and a suspicion of narcolepsy. It is characterized by paroxysmal attacks of diurnal excessive sleepiness, associated with one or more symptoms of hyperphagia, hypersexuality, coprolalia and coproprax...

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Main Authors: Taís Figueiredo de Araújo Lima, Nilce Sanny Costa da Silva Behrens, Eduardo Lopes, Danielle Pereira, Hassana de Almeida Fonseca, Paola Oliveira Cavalcanti, Marcia Pradella-Hallinan, Juliana Castro, Sergio Tufik, Fernando Morgadinho Santos Coelho
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2014-06-01
Series:Sleep Science
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1984006314000285
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author Taís Figueiredo de Araújo Lima
Nilce Sanny Costa da Silva Behrens
Eduardo Lopes
Danielle Pereira
Hassana de Almeida Fonseca
Paola Oliveira Cavalcanti
Marcia Pradella-Hallinan
Juliana Castro
Sergio Tufik
Fernando Morgadinho Santos Coelho
author_facet Taís Figueiredo de Araújo Lima
Nilce Sanny Costa da Silva Behrens
Eduardo Lopes
Danielle Pereira
Hassana de Almeida Fonseca
Paola Oliveira Cavalcanti
Marcia Pradella-Hallinan
Juliana Castro
Sergio Tufik
Fernando Morgadinho Santos Coelho
author_sort Taís Figueiredo de Araújo Lima
collection DOAJ
description The Kleine–Levin Syndrome is a differential diagnosis for patients with diurnal excessive sleepiness and a suspicion of narcolepsy. It is characterized by paroxysmal attacks of diurnal excessive sleepiness, associated with one or more symptoms of hyperphagia, hypersexuality, coprolalia and copropraxia. During crisis intervals, there are no symptoms. This pathology predominantly manifests itself in teenagers, being more frequent among males. The course of this disease is unpredictable, with variable duration and frequency. The most accepted physiopathology is that of a hypothalamic dysfunction, although and recently, there has appeared a hypothesis of a post-infectious autoimmune disorder. These patients show an elevated body mass index, which can predispose to association with comorbidities such as the sleep obstructive apnea syndrome. Treatment involves medications with different effects, but there is no specific and effective therapy. Our article shows a classic case of Kleine–Levin Syndrome associated with sleep obstructive apnea syndrome, a rare association in the literature.
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spelling doaj.art-0dd0d62f3896400d9b5f1348b26ba62f2024-02-03T05:47:50ZengThieme Revinter Publicações Ltda.Sleep Science1984-00632014-06-017212212510.1016/j.slsci.2014.09.001Kleine–Levin Syndrome: A case reportTaís Figueiredo de Araújo Lima0Nilce Sanny Costa da Silva Behrens1Eduardo Lopes2Danielle Pereira3Hassana de Almeida Fonseca4Paola Oliveira Cavalcanti5Marcia Pradella-Hallinan6Juliana Castro7Sergio Tufik8Fernando Morgadinho Santos Coelho9Outpatient Facility of Diurnal Excessive Sleepiness, Department of Psychobiology, Federal University of São Paulo, BrazilOutpatient Facility of Diurnal Excessive Sleepiness, Department of Psychobiology, Federal University of São Paulo, BrazilOutpatient Facility of Diurnal Excessive Sleepiness, Department of Psychobiology, Federal University of São Paulo, BrazilOutpatient Facility of Diurnal Excessive Sleepiness, Department of Psychobiology, Federal University of São Paulo, BrazilOutpatient Facility of Diurnal Excessive Sleepiness, Department of Psychobiology, Federal University of São Paulo, BrazilOutpatient Facility of Diurnal Excessive Sleepiness, Department of Psychobiology, Federal University of São Paulo, BrazilOutpatient Facility of Diurnal Excessive Sleepiness, Department of Psychobiology, Federal University of São Paulo, BrazilOutpatient Facility of Diurnal Excessive Sleepiness, Department of Psychobiology, Federal University of São Paulo, BrazilOutpatient Facility of Diurnal Excessive Sleepiness, Department of Psychobiology, Federal University of São Paulo, BrazilOutpatient Facility of Diurnal Excessive Sleepiness, Department of Psychobiology, Federal University of São Paulo, BrazilThe Kleine–Levin Syndrome is a differential diagnosis for patients with diurnal excessive sleepiness and a suspicion of narcolepsy. It is characterized by paroxysmal attacks of diurnal excessive sleepiness, associated with one or more symptoms of hyperphagia, hypersexuality, coprolalia and copropraxia. During crisis intervals, there are no symptoms. This pathology predominantly manifests itself in teenagers, being more frequent among males. The course of this disease is unpredictable, with variable duration and frequency. The most accepted physiopathology is that of a hypothalamic dysfunction, although and recently, there has appeared a hypothesis of a post-infectious autoimmune disorder. These patients show an elevated body mass index, which can predispose to association with comorbidities such as the sleep obstructive apnea syndrome. Treatment involves medications with different effects, but there is no specific and effective therapy. Our article shows a classic case of Kleine–Levin Syndrome associated with sleep obstructive apnea syndrome, a rare association in the literature.http://www.sciencedirect.com/science/article/pii/S1984006314000285Kleine–Levin SyndromeRecurrent hypersleepinessSleep obstructive apnea syndrome
spellingShingle Taís Figueiredo de Araújo Lima
Nilce Sanny Costa da Silva Behrens
Eduardo Lopes
Danielle Pereira
Hassana de Almeida Fonseca
Paola Oliveira Cavalcanti
Marcia Pradella-Hallinan
Juliana Castro
Sergio Tufik
Fernando Morgadinho Santos Coelho
Kleine–Levin Syndrome: A case report
Sleep Science
Kleine–Levin Syndrome
Recurrent hypersleepiness
Sleep obstructive apnea syndrome
title Kleine–Levin Syndrome: A case report
title_full Kleine–Levin Syndrome: A case report
title_fullStr Kleine–Levin Syndrome: A case report
title_full_unstemmed Kleine–Levin Syndrome: A case report
title_short Kleine–Levin Syndrome: A case report
title_sort kleine levin syndrome a case report
topic Kleine–Levin Syndrome
Recurrent hypersleepiness
Sleep obstructive apnea syndrome
url http://www.sciencedirect.com/science/article/pii/S1984006314000285
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