Traditional biomarkers in narcolepsy: experience of a Brazilian sleep centre.

Abstract:

UNLABELLED:This study was thought to characterized clinical and laboratory findings of a narcoleptic patients in an out patients unit at São Paulo, Brazil. METHOD:28 patients underwent polysomnographic recordings (PSG) and Multiple Sleep Latency Test (MSLT) were analyzed according to standard criteria. The analysis of HLADQB1*0602 allele was performed by PCR. The Hypocretin-1 in cerebral spinal fluid (CSF) was measured using radioimmunoassay. Patients were divided in two groups according Hypocretin-1 level: Normal (N) - Hypocretin-1 higher than 110 pg/ml and Lower (L) Hypocretin-1 lower than 110 pg/ml. RESULTS:Only 4 patients of the N group had cataplexy when compared with 14 members of the L group (p = 0.0002). DISCUSSION:This results were comparable with other authors, confirming the utility of using specific biomarkers (HLA-DQB1*0602 allele and Hypocretin-1 CSF level) in narcolepsy with cataplexy. However, the HLADQB1*0602 allele and Hypocretin-1 level are insufficient to diagnose of narcolepsy without cataplexy.

journal_name

Arq Neuropsiquiatr

authors

Coelho FM,Pradella-Hallinan M,Pedrazzoli M,Soares CA,Fernandes GB,Gonçalves AL,Tufik S,Bittencourt LR

doi

10.1590/s0004-282x2010000500007

subject

Has Abstract

pub_date

2010-10-01 00:00:00

pages

712-5

issue

5

eissn

0004-282X

issn

1678-4227

pii

S0004-282X2010000500007

journal_volume

68

pub_type

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