Screening， diagnosis， and rehabilitation process for narcolepsy： A case report and literature review
10.19845/j.cnki.zfysjjbzz.2025.0166
- VernacularTitle:发作性睡病1例诊治过程报告并文献复习
- Author:
Yuming LI
1
;
Fei QI
1
Author Information
1. Sleep Management Center for Military Personnel， Dalian Rehabilitation and Convalescent Center， Joint Logistics Support Force， Dalian 116019， China
- Publication Type:Journal Article
- Keywords:
Narcolepsy;
Polysomnography;
Case report
- MeSH:
Narcolepsy;
Polysomnography
- From:
Journal of Apoplexy and Nervous Diseases
2025;42(10):901-903
- CountryChina
- Language:Chinese
-
Abstract:
This article reports the complete screening-diagnosis-rehabilitation process for an Air Force non-commissioned officer diagnosed with narcolepsy（NP） comorbid with obstructive sleep apnea （OSA） and REM sleep behavior disorder（RBD）.The patient attended the hospital due to uncontrollable daytime sleep for 3 years and one episode of cataplexy，and a confirmed diagnosis was made based on polysomnography， multiple sleep latency test （MSLT）， and imaging examination， with the exclusion of organic lesions. As for treatment， since the patient showed no response to venlafaxine alone， the treatment regimen was switched to a comprehensive regimen of behavioral interventions， traditional Chinese medicine syndrome differentiation， and pitolisant. Based on this case report and the literature review， it is proposed that the armed forces should introduce a modern diagnostic and therapeutic mode integrating routine screening （Epworth Sleepiness Scale and MSLT）， multidisciplinary dynamic assessment， and individualized comprehensive care， in order to provide evidence-based guidance for the early identification， diagnosis， and treatment of sleep disorders in military personnel.
- Full text:2025122915101360942发作性睡病1例诊治过程报告并文献复习.pdf
