Narcolepsy-cataplexy and loss of sphincter control

A. N. Vgontzas, S. E. Sollenberger, A. Kales, E. O. Bixler, A. Vela-Bueno

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

We describe the case of a 34-year-old man who presented intermittent faecal incontinence as a manifestation of cataplexy. The patient's sleep history was positive for the full narcoleptic tetrad (sleep attacks, cataplexy, sleep paralysis and hypnagogic hallucinations) while extensive neuropsychiatric work up was negative for any neurologic or psychiatric illness. Repeat polysomnograms (including a polysomnogram with a full seizure montage) were positive for pathologic sleepiness, but there was no evidence of a seizure disorder. The course of the patient's symptomatology and the favourable response of his symptoms to stimulants and imipramine support the theory that his intermittent loss of sphincter control is part of his narcolepsy-cataplexy.

Original languageEnglish (US)
Pages (from-to)493-494
Number of pages2
JournalPostgraduate Medical Journal
Volume72
Issue number850
DOIs
StatePublished - Jan 1 1996

Fingerprint

Cataplexy
Narcolepsy
Sleep
Sleep Paralysis
Fecal Incontinence
Imipramine
Hallucinations
Nervous System
Psychiatry
Epilepsy
Seizures

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Vgontzas, A. N., Sollenberger, S. E., Kales, A., Bixler, E. O., & Vela-Bueno, A. (1996). Narcolepsy-cataplexy and loss of sphincter control. Postgraduate Medical Journal, 72(850), 493-494. https://doi.org/10.1136/pgmj.72.850.493
Vgontzas, A. N. ; Sollenberger, S. E. ; Kales, A. ; Bixler, E. O. ; Vela-Bueno, A. / Narcolepsy-cataplexy and loss of sphincter control. In: Postgraduate Medical Journal. 1996 ; Vol. 72, No. 850. pp. 493-494.
@article{a38dc5e2070e41a1b0d69171dccb9a61,
title = "Narcolepsy-cataplexy and loss of sphincter control",
abstract = "We describe the case of a 34-year-old man who presented intermittent faecal incontinence as a manifestation of cataplexy. The patient's sleep history was positive for the full narcoleptic tetrad (sleep attacks, cataplexy, sleep paralysis and hypnagogic hallucinations) while extensive neuropsychiatric work up was negative for any neurologic or psychiatric illness. Repeat polysomnograms (including a polysomnogram with a full seizure montage) were positive for pathologic sleepiness, but there was no evidence of a seizure disorder. The course of the patient's symptomatology and the favourable response of his symptoms to stimulants and imipramine support the theory that his intermittent loss of sphincter control is part of his narcolepsy-cataplexy.",
author = "Vgontzas, {A. N.} and Sollenberger, {S. E.} and A. Kales and Bixler, {E. O.} and A. Vela-Bueno",
year = "1996",
month = "1",
day = "1",
doi = "10.1136/pgmj.72.850.493",
language = "English (US)",
volume = "72",
pages = "493--494",
journal = "Postgraduate Medical Journal",
issn = "0032-5473",
publisher = "BMJ Publishing Group",
number = "850",

}

Vgontzas, AN, Sollenberger, SE, Kales, A, Bixler, EO & Vela-Bueno, A 1996, 'Narcolepsy-cataplexy and loss of sphincter control', Postgraduate Medical Journal, vol. 72, no. 850, pp. 493-494. https://doi.org/10.1136/pgmj.72.850.493

Narcolepsy-cataplexy and loss of sphincter control. / Vgontzas, A. N.; Sollenberger, S. E.; Kales, A.; Bixler, E. O.; Vela-Bueno, A.

In: Postgraduate Medical Journal, Vol. 72, No. 850, 01.01.1996, p. 493-494.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Narcolepsy-cataplexy and loss of sphincter control

AU - Vgontzas, A. N.

AU - Sollenberger, S. E.

AU - Kales, A.

AU - Bixler, E. O.

AU - Vela-Bueno, A.

PY - 1996/1/1

Y1 - 1996/1/1

N2 - We describe the case of a 34-year-old man who presented intermittent faecal incontinence as a manifestation of cataplexy. The patient's sleep history was positive for the full narcoleptic tetrad (sleep attacks, cataplexy, sleep paralysis and hypnagogic hallucinations) while extensive neuropsychiatric work up was negative for any neurologic or psychiatric illness. Repeat polysomnograms (including a polysomnogram with a full seizure montage) were positive for pathologic sleepiness, but there was no evidence of a seizure disorder. The course of the patient's symptomatology and the favourable response of his symptoms to stimulants and imipramine support the theory that his intermittent loss of sphincter control is part of his narcolepsy-cataplexy.

AB - We describe the case of a 34-year-old man who presented intermittent faecal incontinence as a manifestation of cataplexy. The patient's sleep history was positive for the full narcoleptic tetrad (sleep attacks, cataplexy, sleep paralysis and hypnagogic hallucinations) while extensive neuropsychiatric work up was negative for any neurologic or psychiatric illness. Repeat polysomnograms (including a polysomnogram with a full seizure montage) were positive for pathologic sleepiness, but there was no evidence of a seizure disorder. The course of the patient's symptomatology and the favourable response of his symptoms to stimulants and imipramine support the theory that his intermittent loss of sphincter control is part of his narcolepsy-cataplexy.

UR - http://www.scopus.com/inward/record.url?scp=0029764574&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029764574&partnerID=8YFLogxK

U2 - 10.1136/pgmj.72.850.493

DO - 10.1136/pgmj.72.850.493

M3 - Article

C2 - 8796217

AN - SCOPUS:0029764574

VL - 72

SP - 493

EP - 494

JO - Postgraduate Medical Journal

JF - Postgraduate Medical Journal

SN - 0032-5473

IS - 850

ER -