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发作性睡病并不少见,但由于临床认识不足,容易误诊或漏诊。我院自2003年6月至2005年5月共诊治8例,现报道如下。临床资料一般资料本组8例中男性6例,女性2例。年龄14～45岁,平均年龄(25.2±3.61)岁。其中14～20岁2例,21～30岁3例,31～40岁2例,大于40岁1例。发病时间2周至21年,平均(7.13±1.23)年。其中2周至5年3例,5～10年3例,10年以上2例。临床表现发作性嗜睡8例,伴猝倒发作6例,睡眠瘫痪5例,入睡幻觉8例。检查资料 8例临床内科及神经科检查均无阳性发现。8例均行脑电图及头颅 CT 检查。7例脑电图正常,1例颞叶慢波增多,未发现棘(慢)波及丛集样棘波(尖波)。脑 CT 检查无阳性发现。
Narcolepsy is not uncommon, but due to lack of clinical knowledge, it can be easily misdiagnosed or missed. Our hospital from June 2003 to May 2005 a total of 8 cases were reported as follows. Clinical data General information The group of 8 patients, 6 males and 2 females. Aged 14 to 45 years old, mean age (25.2 ± 3.61) years. Including 14 to 20 years in 2 cases, 21 to 30 years in 3 cases, 31 to 40 years in 2 cases, more than 40 years in 1 case. The onset time of 2 weeks to 21 years, an average of (7.13 ± 1.23) years. Of which 2 to 5 years in 3 cases, 5 to 10 years in 3 cases, 10 years in 2 cases. Clinical manifestations of 8 cases of paroxysmal somnolence, with cataplasm attack in 6 cases, 5 cases of sleep paralysis, sleep hallucinations in 8 cases. Examination data 8 cases of clinical medicine and neurology examination were no positive findings. 8 patients underwent EEG and head CT examination. 7 cases of normal EEG, 1 case of temporal lobe increased, not found spike (slow) cluster-like spike (spike). Brain CT examination found no positive.