Indian Journal of Sleep Medicine

Register      Login

VOLUME 11 , ISSUE 3 ( July-September, 2016 ) > List of Articles


Pediatric Narcolepsy Masquerading as Acute Insomnia

Samhita Panda

Keywords : Narcolepsy, insomnia, paradoxical insomnia, early morning awakening, sleep perception

Citation Information : Panda S. Pediatric Narcolepsy Masquerading as Acute Insomnia. Indian Sleep Med 2016; 11 (3):114-117.

DOI: 10.5958/0974-0155.2016.00017.6

License: NA

Published Online: 01-09-2014

Copyright Statement:  Copyright © 2016; The Author(s).


Narcolepsy, a disorder of the borderline between wakefulness and sleep is rarely diagnosed in the pediatric population. This is despite the fact that majority of narcoleptic signs and symptoms begin in the second decade. Misdiagnosis and delayed diagnosis inadvertently leads to increased social and economic burden on the children and their families with interference in normal mental and physical well being and academic performance. The commonest cardinal symptom of narcolepsy is excessive daytime sleepiness. However, patients with narcolepsy have significantly disturbed sleep patterns and may have associated mood disorders. This report describes a child presenting with acute insomnia who was found to have narcolepsy.

PDF Share
  1. Guilleminault C, Cao MT. Narcolepsy: Diagnosis and management. In: Kryger MH, Roth T, Dement WC, eds. Principles and practices of sleep medicine. 5th ed. St. Louis, Missouri: Elsevier's Saunders, 2011:957-68.
  2. Challamel MJ, Mazzola ME, Nevsimalova S, et al. Narcolepsy in children. Sleep 1994;17:517-20.
  3. Herrmann C. International experiences with the Hospital Anxiety and Depression Scale- A review of validation data and clinical results. J Psychsom Res 1997;42:17-41.
  4. Denollet, J. DS14: standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosom. Med2005;67:89–97.
  5. Aran A, Einen M, Lin L, et al. Clinical and therapeutic aspects of childhood narcolepsy-cataplexy: a retrospective study of 51 children. Sleep 2010;33(11):1457-64.
  6. Dahl RE, Holttum J, Trubnick L. A clinical picture of child and adolescent narcolepsy. J Am Acad Child Adolesc Psychiatry 1994;33(6):834-41.
  7. Han F, Lin L, Li J, et al. Presentations of primary hypersomnia in Chinese children. Sleep 2011;34(5):627-32.
  8. Stores G. The protean manifestations of childhood narcolepsy and their misinterpretation. Dev Med Child Neurol 2006;48(4):307-10.
  9. Kauta SR, Marcus CL. Cases of pediatric narcolepsy after misdiagnoses. Pediatr Neurol 2012;47(5):362-5.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.