Magnetic Resonance imaging of the brain was reported as normal. She was investigated thoroughly with blood tests which excluded iron deficiency anemia, and showed normal thyroid, renal and liver function tests, and a normal cortisol response of 958 nmol/L after a short synacthen test. Her systemic examination was unremarkable, and her height and weight were on the 50 th percentile with a Basal Metabolic Index (BMI) of 19 kg/m 2. She was never noted to snore at night or mouth breath. She had an Epsworth sleepiness scale of 14. According to her mother her academic performance and concentration were being affected because of this. After returning home from school, she would sleep again for another three hours. She was sleeping well at night for an average of ten hours, but she was still complaining of feeling tired during the day, with frequent episodes of sleeping during school hours. CaseĪ previously healthy nine-and-a-half-year-old girl was referred to the children’s outpatient department with a 10-month history of increasing daytime lethargy and sleepiness which started at age 8. We report a case of a child presenting with excessive day time sleepiness, who was diagnosed with narcolepsy, which although is a rare disease, is very treatable, and early intervention will reduce its psychosocial impact. It is under diagnosed in both children and adults due to the clinical heterogeneity. 1It is characterized by excessive day time sleepiness (EDS) and features of rapid eye movement (REM) sleep. Narcolepsy is a lifelong disorder that is usually diagnosed in early adulthood, however most often symptoms begin in the childhood years.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |