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KLEINE-LEVIN SYNDROME - A CLINICAL CASE
- Publication Year :
- 2017
- Publisher :
- Morressier, 2017.
-
Abstract
- Objectives:Describe a Kleine-Levin Syndrome (KLS) and discuss its clinical presentation, diagnostic criteria and therapeutic approach. Background:KLS is described as a rare disorder presenting with recurrent episodes of unexplained hypersomnia lasting from few days to several weeks, hyperphagia and hypersexuality. It affects mainly young male individuals. Between episodes, subjects donu2019t show any symptom and sometimes describe retrograde amnesia for their behavior. Nevertheless, and since this disorder can cause a great impairment on social and working abilities during episodes, we can observe a significant prevalence of depression and anxiety among patients as a consequence of their clinical situation.Materials and Methods:Clinical case description and literature review about KLS.Results and Conclusions:We present the case of a 51 years old male that was assisted at the Neurology emergency room (ER) from Centro Hospitalar de Tru00e1s-os-Montes e Alto Douro presenting disorientation, sexual impulsivity, aggressiveness, hypersomnia and hyperfagia. He was already being followed at Psychiatry appointments and medicated with valproic acid. At the ER, the only change detected was a level of valproic acid below therapeutic cut-off. He was then admitted at Psychiatric ward in order to optimize medication and stabilize symptoms.Despite being rare, KLS can lead to great changes on personal, social and working life of our patients. Besides, this condition can be related to the emergence of depressive and anxious symptoms that must be adequately treated. For all these reasons, itu2019s important to approach this theme in order to raise awareness of its existence and improve its diagnosis and treatment.
Details
- Language :
- English
- Database :
- Open Research Library
- Accession number :
- edsors.3f8fa61c.9681.45e7.b6dc.e87006ac932f
- Document Type :
- OTHER_DOCUMENT