One case of pilot with narcolepsy and literature review
10.3760/cma.j.issn.1007-6239.2012.01.014
- VernacularTitle:飞行员发作性睡病一例并文献复习
- Author:
Wan-er WANG
1
;
Li CUI
;
Shu-xuan XU
;
He GAO
;
Xin-xin LIU
;
Yang WANG
;
Xian-rong XU
Author Information
1. 空军总医院睡眠中心,北京,100142
- Publication Type:Journal Article
- Keywords:
Lethargy;
Cataplexy;
Multiple sleep latency test (MSLT);
Narcolepsy;
Diagnosis
- From:
Chinese Journal of Aerospace Medicine
2012;23(1):49-53
- CountryChina
- Language:Chinese
-
Abstract:
Objective To better understand the cliuical characteristics of narcolepsy and to improve the diagnosis. Method A case of pilot's narcolepsy was analyzed on clinical characteristics and the related literatures were reviewed. Results Clinical characteristics of the case were excessive daytime sleep,cataplexy,hypnopompic hallucinations and disruption of night sleep. Multiple sleep latency test (MSLT) showed that mean sleep latency was 2.9 min and combined with 3 sleep onset rapid eye movement periods (SOREMPs).The finding was exactly consistent with the narcolepsy diagnosis criteria of international classification of sleep disorder,which mentioned in the 2nd edition of diagnostic and coding manual that issued by American Academy of Sleep Medicine,and with the literatures.The pilot was finally disqualified. Conclusions Narcolepsy is extremely rare in pilots and its diagnosis should be cautious.We suggest that the emphasized attention should be paid to the pilot with significant excessive daytime sleep and eataplexy,and the awareness of seldom sleep disorders,such as narcolepsy should be strengthened in recruitmcnt and aeromedical practice.