Cataplexy features in childhood narcolepsy
Identifieur interne : 002953 ( Main/Exploration ); précédent : 002952; suivant : 002954Cataplexy features in childhood narcolepsy
Auteurs : Leonardo Serra [Italie, Chili] ; Pasquale Montagna [Italie] ; Emmanuel Mignot [États-Unis] ; Elio Lugaresi [Italie] ; Giuseppe Plazzi [Italie]Source :
- Movement Disorders [ 0885-3185 ] ; 2008-04-30.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Enfant.
English descriptors
- KwdEn :
- Adolescent, Adult, Cataplexy, Cataplexy (etiology), Cataplexy (physiopathology), Child, Facial Expression, Female, Humans, Male, Movement Disorders (physiopathology), Narcolepsy, Narcolepsy (complications), Nervous system diseases, Sleep, Speech Disorders (physiopathology), Vision Disorders (physiopathology), cataplectic facies, cataplexy, childhood, narcolepsy, sleep.
- MESH :
- complications : Narcolepsy.
- etiology : Cataplexy.
- physiopathology : Cataplexy, Movement Disorders, Speech Disorders, Vision Disorders.
- Adolescent, Adult, Child, Facial Expression, Female, Humans, Male.
Abstract
Cataplexy, the hallmark of narcolepsy, has been well characterized in adults but not in children. This study systematically used structured clinical assessments and video‐recordings (49 episodes in eight cases) to evaluate cataplexy in 23 patients diagnosed before the age of 18 years. Forty‐three percent of patients had falls as part of their attacks. During cataplexy knees, head, and jaw were the most frequently compromised body segments; eyelids, arms, and trunk being less commonly involved. More rarely, blurred vision, slurred speech, irregular breathing, or a sudden loss of smiling mimics were reported. One‐third of the sample presented with a previously unrecognized description of cataplexy that we coined “cataplectic facies,” consisting of a state of semipermanent eyelid and jaw weakness, on which partial or complete cataplectic attacks were superimposed. The usual triggering emotions, such as laughter, joking, or anger, were not always present, especially when close to an abrupt onset, hampering diagnosis. Video‐recordings of cataplectic attacks may be useful to document the attack, allowing a comparison with archived presentations. © 2008 Movement Disorder Society
Url:
DOI: 10.1002/mds.21965
Affiliations:
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Le document en format XML
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Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2008-04-30">2008-04-30</date><biblScope unit="vol">23</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="858">858</biblScope><biblScope unit="page" to="865">865</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">186612F05108B9F5144CAFC1C2D1FDAA3A6224CB</idno><idno type="DOI">10.1002/mds.21965</idno><idno type="ArticleID">MDS21965</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Cataplexy</term><term>Cataplexy (etiology)</term><term>Cataplexy (physiopathology)</term><term>Child</term><term>Facial Expression</term><term>Female</term><term>Humans</term><term>Male</term><term>Movement Disorders (physiopathology)</term><term>Narcolepsy</term><term>Narcolepsy (complications)</term><term>Nervous system diseases</term><term>Sleep</term><term>Speech Disorders (physiopathology)</term><term>Vision Disorders (physiopathology)</term><term>cataplectic facies</term><term>cataplexy</term><term>childhood</term><term>narcolepsy</term><term>sleep</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Narcolepsy</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Cataplexy</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Cataplexy</term><term>Movement Disorders</term><term>Speech Disorders</term><term>Vision Disorders</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Child</term><term>Facial Expression</term><term>Female</term><term>Humans</term><term>Male</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Cataplexie</term><term>Enfant</term><term>Narcolepsie</term><term>Pathologie du système nerveux</term><term>Sommeil</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Enfant</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Cataplexy, the hallmark of narcolepsy, has been well characterized in adults but not in children. This study systematically used structured clinical assessments and video‐recordings (49 episodes in eight cases) to evaluate cataplexy in 23 patients diagnosed before the age of 18 years. Forty‐three percent of patients had falls as part of their attacks. During cataplexy knees, head, and jaw were the most frequently compromised body segments; eyelids, arms, and trunk being less commonly involved. More rarely, blurred vision, slurred speech, irregular breathing, or a sudden loss of smiling mimics were reported. One‐third of the sample presented with a previously unrecognized description of cataplexy that we coined “cataplectic facies,” consisting of a state of semipermanent eyelid and jaw weakness, on which partial or complete cataplectic attacks were superimposed. The usual triggering emotions, such as laughter, joking, or anger, were not always present, especially when close to an abrupt onset, hampering diagnosis. Video‐recordings of cataplectic attacks may be useful to document the attack, allowing a comparison with archived presentations. © 2008 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Chili</li><li>Italie</li><li>États-Unis</li></country><region><li>Californie</li></region></list><tree><country name="Italie"><noRegion><name sortKey="Serra, Leonardo" sort="Serra, Leonardo" uniqKey="Serra L" first="Leonardo" last="Serra">Leonardo Serra</name></noRegion><name sortKey="Lugaresi, Elio" sort="Lugaresi, Elio" uniqKey="Lugaresi E" first="Elio" last="Lugaresi">Elio Lugaresi</name><name sortKey="Montagna, Pasquale" sort="Montagna, Pasquale" uniqKey="Montagna P" first="Pasquale" last="Montagna">Pasquale Montagna</name><name sortKey="Plazzi, Giuseppe" sort="Plazzi, Giuseppe" uniqKey="Plazzi G" first="Giuseppe" last="Plazzi">Giuseppe Plazzi</name></country><country name="Chili"><noRegion><name sortKey="Serra, Leonardo" sort="Serra, Leonardo" uniqKey="Serra L" first="Leonardo" last="Serra">Leonardo Serra</name></noRegion></country><country name="États-Unis"><region name="Californie"><name sortKey="Mignot, Emmanuel" sort="Mignot, Emmanuel" uniqKey="Mignot E" first="Emmanuel" last="Mignot">Emmanuel Mignot</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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