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Case 8 - A shift worker falls repeatedly

from Part III - Circadian rhythm disorders

Published online by Cambridge University Press:  10 November 2010

By
Teresa Canet
Edited by
Antonio Culebras
Antonio Culebras
Affiliation:
Upstate Medical University, New York
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Summary

This chapter presents the clinical history, examination, and the results of the procedures performed on a 30-year-old male shift worker who was admitted for the evaluation of uncontrolled daytime sleepiness and generalized muscle hypotonic attacks. The patient was also falling to the ground without loss of consciousness. The chapter presents the clinical history, examination, follow-up, treatment, diagnosis, and the results of the procedures performed on the patient. The results of polysomnography (PSG) showed that the patient had a total sleep time of 400 minutes and a total wake time of 40 minutes, with a sleep efficiency of 91%. The diagnosis was narcolepsy with cataplexy. Sodium oxybate was administered in increasing doses, and the progression after a year and a half was satisfactory; no episodes of cataplexy occurred during regular work hours. After 4 months of treatment with sodium oxybate, the patient did not complain of daytime sleepiness.

Keywords

central sleep apneachronic painintermittent mild snoringpolysomnographyrespiratory symptomslaminectomynarcoticssocial history
Type
Chapter
Information
Case Studies in Sleep Neurology
Common and Uncommon Presentations
 , pp. 51 - 56
Publisher: Cambridge University Press
Print publication year: 2010

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