![]() blinking of the eyes or nodding of the head (pure petit mal) or sudden jerking movements of. Although many autoimmune disorders including SS or narcolepsy can coexist with NMOSD 3, to our knowledge polysomnography-proven symptomatic narcolepsy in SS has not been reported to date. DOES THE VETERAN HAVE A CONFIRMED DIAGNOSIS OF NARCOLEPSY. Even though the symptoms can greatly affect our daily routines, they often go unidentified and. She was finally diagnosed with SS 2 and neuromyelitis optica spectrum disorder (NMOSD). Common narcolepsy symptoms include sleep attacks, cataplexy, sleep paralysis, and hallucinations. It is one of the most common causes of disabling daytime sleepiness after obstructive sleep apnea 1,2. She had chronic dry eyes and mouth in a detailed history-taking, and Schirmer test was positive. INTRODUCTION Narcolepsy is a clinical syndrome of daytime sleepiness with cataplexy, hypnagogic hallucinations, and sleep paralysis. ![]() Serum anti-SSA(Ro) and antiaquaporin-4 antibodies were positive however, anti-SSB(La) and anti-nuclear antibodies were negative. The voluntary muscles lose control and become weak. Polysomnography and multiple sleep latency test revealed shorted sleep latency (0.2 min) and 2 occurrences of sleep-onset rapid eye movement sleep among 5 nap trials, compatible with the diagnostic criteria of narcolepsy. Cataplexy Cataplexy is a condition where someone suddenly loses muscle tone while they are awake. Her brain magnetic resonance imaging (MRI) showed T2 high signal intensities in bilateral hypothalamic areas ( Figure 1). Humans prone to cataplexy experience sudden losses of postural muscle tone. In neurologic examination, her mental status was alert and there were no focal neurologic deficits. She did not have cataplexy, sleep paralysis, or hallucinations. Herein, we describe an unusual case of Sjögren syndrome (SS) presented as narcolepsy secondary to bilateral hypothalamic lesions.Ī 61-year-old woman presented with excessive daytime sleepiness and fatigue starting a few months previous. ![]() ![]() The symptoms of narcolepsy can occur during the course of other neurological conditions (i.e., symptomatic narcolepsy), such as inherited disorders, tumors, and head trauma 1. Narcolepsy is a debilitating sleep disorder typically characterized by excessive daytime sleepiness with or without cataplexy. ![]()
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