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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
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Česky / Czech version | Čes. a Slov. Neurol. Neurochir., 65/98, 2002, No. 3, p. 199-205 |
Two Case-reports of Recurrent Hypersomnia –Clinical Course and Polysomnography Šonka K.1 ,Pretl M.1 ,Hnídková P.1 ,Nevšímalová S.1 ,Jakoubková M.1 ,Smolík P.2 , Dauvilliers Y.3 ,Tafti M.4 1 Neurologická klinika 1.lékařské fakulty UK a VFN,Praha 2 Psychiatrická klinika lékařské fakulty UK a FN,Hradec Králové 3 Neurologie B,Hôpital Guy de Chauliac,Montpellier,France 4 Unité de Biochimie et Neurophysiologie Clinique,Département de Psychiatrie, Université de Gen è Suisse |
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Summary: Two patients (females aged 13 and 45)suffering from recurrent hypersomnia were examined by
polysomnography in the symptomatic period;the younger patient underwent polysomnography also
in the asymptomatic period.The sleep in the symptomatic period of these patients had no common
features except fragmentation and stage 1 and 2 NREM prolongation.Both patients were somnolent
and apathetic during wakefulness and the older patient also agitated.The 13-year-old subject did not
eat more during the symptomatic period but she gained 3 kg each time.The 45-year-old patient overate
several days after the period of sleep.No abnormal sexual behaviour was referred.The symptomatic
periods occurred in the 45-year-old patient during menstruation.Therapy by lithium alleviated the
symptoms in both patients.
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