This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.
We report an unusually prolonged cataplectic attack in a patient with narcolepsy who stopped fluoxetine to perform sleep investigations.
Case report.
A 57-year-old woman with a 24-year history of clinically definite narcolepsy with cataplexy was referred for reassessment of treatment because of increasing insomnia. The patient reported excessive daytime sleepiness (Epworth Sleepiness Scale score 20/24) and maintenance insomnia with creeping and itching sensations in the legs accompanied by an urge to move. She had daily episodes of cataplexy with sagging of the face, jaw, and eyelids, slurred speech, and rarely head drooping. The episodes were triggered by positive or negative emotions and lasted a few seconds up to 1 minute. She had also monthly episodes of sleep paralysis and auditory hypnagogic hallucinations. The Ullanlinna Narcolepsy Scale score was 30 of 44 (a score of >14 suggests narcolepsy), and the Swiss Narcolepsy Scale score was −66 (a score of <0 suggests narcolepsy). …
AAN Members
We have changed the login procedure to improve access between AAN.com and the Neurology journals. If you are experiencing issues, please log out of AAN.com and clear history and cookies. (For instructions by browser, please click the instruction pages below). After clearing, choose preferred Journal and select login for AAN Members. You will be redirected to a login page where you can log in with your AAN ID number and password. When you are returned to the Journal, your name should appear at the top right of the page.
AAN Non-Member Subscribers
Purchase access
Letters: Rapid online correspondence
REQUIREMENTS
You must ensure that your Disclosures have been updated within the previous six months. Please go to our Submission Site to add or update your Disclosure information.
Your co-authors must send a completed Publishing Agreement Form to Neurology Staff (not necessary for the lead/corresponding author as the form below will suffice) before you upload your comment.
If you are responding to a comment that was written about an article you originally authored:
You (and co-authors) do not need to fill out forms or check disclosures as author forms are still valid
and apply to letter.
Submission specifications:
- Submissions must be < 200 words with < 5 references. Reference 1 must be the article on which you are commenting.
- Submissions should not have more than 5 authors. (Exception: original author replies can include all original authors of the article)
- Submit only on articles published within 6 months of issue date.
- Do not be redundant. Read any comments already posted on the article prior to submission.
- Submitted comments are subject to editing and editor review prior to posting.
