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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
 


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.

        Key words: recurrent hypersomnia,Kleine-Levin syndrome,hypersomnia,polysomnography,lithium
       

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