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Clinical Child Psychology and Psychiatry
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Pseudonarcolepsy in an 11-Year-Old Boy

Sasha Hvidsten

The Elms Health Centre, UK, sashahvidsten{at}hotmail.com

Gordon Bates

The Elms Health Centre, UK

Narcolepsy is a common disorder with a prevalence of 0.56/1000. Patients present with a classic tetrad of excessive daytime sleepiness, cataplexy, sleep paralysis and hypnagogic hallucinations, which is seen only rarely in children. The term `narcolepsy' is taken from Greek and means `seized by somnolence'; it was first described in 1880 by Gelineau. This article is a case study of an 11-year-old male with pseudonarcolepsy. He presented to accident and emergency with episodes of falling asleep at inappropriate and unexpected times, often falling to the floor. Pseudonarcolepsy is a term coined to describe the phenomenon in which a patient presents with the symptoms and signs of narcolepsy, but the origin is psychogenic. Differential diagnosis, investigation and possible aetiology are discussed, along with treatment and outcome.

Key Words: dissociative disorders • narcolepsy • neuropsychiatry • sleep

Clinical Child Psychology and Psychiatry, Vol. 13, No. 4, 585-591 (2008)
DOI: 10.1177/1359104508090608
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