An Adolescent with Kleine-levin Syndrome: A Case Report
Abstract
Kleine-levin syndrome is characterized as a periodic hypersomnia crisis as well as dietary and variable significant psychic symptoms. This report describes the finding on an evaluation of a 15- year- old girl with KLS. She had amnesia to her episodes. All episodes were correlated with menstrual period.Polysomnographic finding of this patient was normal with 5 sleep cycles in sleep architecture and sleep efficiency of 99%. Decreasing in stage I, increasing of stage III and IV and decreasing in REM sleep was notable. Dextroamphetamin was given to the patient in order to decrease sleepiness.Kleine-levin syndrome should be considered in patients with periodic hypersomnia.
American Academy of Sleep Medicine. International Classification of Sleep Disorders: Diagnostic & Coding Manual. chicago: Amer Academy of Sleep Medicine; 2005.
Arnulf I, Zeitzer JM, File J, Farber N, Mignot E. Kleine-Levin syndrome: a systematic review of 186 cases in the literature. Brain 2005; 128: 2763-2776.
Hori T, Sugita Y, Koga E, Shirakawa S, Inoue K, Uchida S, et al. Proposed supplements and amendments to'A Manual of Standardized Terminology, Techniques and Scoring System for Sleep Stages of Human Subjects', the Rechtschaffen & Kales (1968) standard. Psychiatry Clin Neurosci 2001; 55: 305-310.
Lavie P, Klein E, Gadoth N, Bental E, Zomer J, Bechar M, et al. Further observations on sleep abnormalities in Kleine-Levin syndrome: abnormal breathing pattern during sleep. Electroencephalogr Clin Neurophysiol 1981; 52: 98-101.
Goldberg MA. Treatment of Klein-Levin Syndrome with lithium. Canadian Journal of Psychiatry 1983; 28: 491-493.
Reynolds 3rd CF, Black RS, Coble P, Holzer B, Kupfer DJ. Similarities in EEG sleep findings for Kleine-Levin syndrome and unipolar depression. Am J Psychiatry 1980; 137: 116-118.
Gallinek A. The Kleine-Levin syndrome: hypersomnia, bulimia, and abnormal mental states. World Neurol 1962; 3: 235-243.
Vlach V. Periodical somnolence, bulimia and mental changes (Kleine–Levin syndrome). Cesk Neurol 1962; 25: 401-405.
Kesler A, Gadoth N, Vainstein G, Peled R, Lavie P. Kleine Levin Syndrome (KLS) in Young Females. SLEEP 2000; 23: 563-567.
| Files | ||
| Issue | Vol 2 No 3 (2007) | |
| Section | Articles | |
| Keywords | ||
| Adolescent Hypersomnia Sleep disorders | ||
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