Narcolepsy following cerebral hypoxic ischemia.

Abstract:

:A 51-year-old man with non-HLA-DR2 histocompatibility developed classic signs and symptoms of the narcoleptic tetrad soon after recovering from an episode of cardiopulmonary insufficiency, which occurred during induction of surgical anesthesia. Symptoms included excessive daytime sleepiness, hypnagogic hallucinations, sleep paralysis, and cataplexy. The diagnosis was confirmed by repeated polysomnographic examinations in the sleep laboratory. Cerebral hemodynamic changes during the onset of sleep showed remarkable increases of cerebral blood flow during the onset of rapid-eye-movement sleep similar to those reported previously in patients with narcolepsy. Magnetic resonance imaging showed focal regions of abnormal spin-echo signals in the ventral pons.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Rivera VM,Meyer JS,Hata T,Ishikawa Y,Imai A

doi

10.1002/ana.410190516

subject

Has Abstract

pub_date

1986-05-01 00:00:00

pages

505-8

issue

5

eissn

0364-5134

issn

1531-8249

journal_volume

19

pub_type

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