Cyclic hypersomnolence with symptoms of narcolepsy with cataplexy: An unusual presentation of probable immune-mediated encephalitis

We report a case of probable encephalitis presenting as narcolepsy with cataplexy, but with cyclical exacerbation and cognitive difficulties. Our patient continued to worsen despite treatment for narcolepsy and later was thought to have an immune-mediated encephalopathy. Treatment with intravenous g...

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Detalles Bibliográficos
Autores principales: Willenberg, Rafer, Bui, Jonathan D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5933995/
https://www.ncbi.nlm.nih.gov/pubmed/29736425
http://dx.doi.org/10.1016/j.ensci.2018.01.003
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author Willenberg, Rafer
Bui, Jonathan D.
author_facet Willenberg, Rafer
Bui, Jonathan D.
author_sort Willenberg, Rafer
collection PubMed
description We report a case of probable encephalitis presenting as narcolepsy with cataplexy, but with cyclical exacerbation and cognitive difficulties. Our patient continued to worsen despite treatment for narcolepsy and later was thought to have an immune-mediated encephalopathy. Treatment with intravenous gamma immunoglobulin (IVIG) led to complete recovery. Cyclic symptoms of narcolepsy with cataplexy are thus one presentation of probable immune-mediated encephalitis.
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spelling pubmed-59339952018-05-07 Cyclic hypersomnolence with symptoms of narcolepsy with cataplexy: An unusual presentation of probable immune-mediated encephalitis Willenberg, Rafer Bui, Jonathan D. eNeurologicalSci Case Report We report a case of probable encephalitis presenting as narcolepsy with cataplexy, but with cyclical exacerbation and cognitive difficulties. Our patient continued to worsen despite treatment for narcolepsy and later was thought to have an immune-mediated encephalopathy. Treatment with intravenous gamma immunoglobulin (IVIG) led to complete recovery. Cyclic symptoms of narcolepsy with cataplexy are thus one presentation of probable immune-mediated encephalitis. Elsevier 2018-01-28 /pmc/articles/PMC5933995/ /pubmed/29736425 http://dx.doi.org/10.1016/j.ensci.2018.01.003 Text en © 2018 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Willenberg, Rafer
Bui, Jonathan D.
Cyclic hypersomnolence with symptoms of narcolepsy with cataplexy: An unusual presentation of probable immune-mediated encephalitis
title Cyclic hypersomnolence with symptoms of narcolepsy with cataplexy: An unusual presentation of probable immune-mediated encephalitis
title_full Cyclic hypersomnolence with symptoms of narcolepsy with cataplexy: An unusual presentation of probable immune-mediated encephalitis
title_fullStr Cyclic hypersomnolence with symptoms of narcolepsy with cataplexy: An unusual presentation of probable immune-mediated encephalitis
title_full_unstemmed Cyclic hypersomnolence with symptoms of narcolepsy with cataplexy: An unusual presentation of probable immune-mediated encephalitis
title_short Cyclic hypersomnolence with symptoms of narcolepsy with cataplexy: An unusual presentation of probable immune-mediated encephalitis
title_sort cyclic hypersomnolence with symptoms of narcolepsy with cataplexy: an unusual presentation of probable immune-mediated encephalitis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5933995/
https://www.ncbi.nlm.nih.gov/pubmed/29736425
http://dx.doi.org/10.1016/j.ensci.2018.01.003
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