دورية أكاديمية
Hypocretin-1 deficiency in a girl with ROHHAD syndrome
| العنوان: | Hypocretin-1 deficiency in a girl with ROHHAD syndrome |
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| المؤلفون: | Dhondt, Karlien, Verloo, Patrick, Verhelst, Helene, Van Coster, Rudy, Overeem, Sebastiaan |
| المصدر: | PEDIATRICS ; ISSN: 0031-4005 |
| سنة النشر: | 2013 |
| المجموعة: | Ghent University Academic Bibliography |
| مصطلحات موضوعية: | Biology and Life Sciences, narcolepsy, CHILDREN, cataplexy, orexin, hypocretin, RAPID-ONSET OBESITY, IDIOPATHIC HYPOTHALAMIC DYSFUNCTION, AUTONOMIC DYSREGULATION, CHILDHOOD NARCOLEPSY, OREXIN-A, HYPOVENTILATION, MANIFESTATIONS |
| الوصف: | Rapid-onset obesity with hypothalamic dysfunction, hypoventilation, and autonomic dysregulation (ROHHAD) is a rare and complex pediatric syndrome, essentially caused by dysfunction of 3 vital systems regulating endocrine, respiratory, and autonomic nervous system functioning. The clinical spectrum of ROHHAD is broad, but sleep/wake disorders have received relatively little attention so far, although the central hypothalamic dysfunction would make the occurrence of sleep symptoms likely. In this case report, we expand the phenotype of ROHHAD with a number of striking sleep symptoms that together can be classified as a secondary form of narcolepsy. We present a 7-year-old girl with ROHHAD who displayed the classic features of narcolepsy with cataplexy: excessive daytime sleepiness with daytime naps, visual hallucinations, and partial cataplexy reflected in intermittent loss of facial muscle tone. Nocturnal polysomnography revealed sleep fragmentation and a sleep-onset REM period characteristic for narcolepsy. The diagnosis was confirmed by showing an absence of hypocretin-1 in the cerebrospinal fluid. We discuss potential pathophysiological implications as well as symptomatic treatment options. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| العلاقة: | https://biblio.ugent.be/publication/4329348Test; http://hdl.handle.net/1854/LU-4329348Test; http://dx.doi.org/10.1542/peds.2012-3225Test; https://biblio.ugent.be/publication/4329348/file/4329365Test |
| DOI: | 10.1542/peds.2012-3225 |
| الإتاحة: | https://doi.org/10.1542/peds.2012-3225Test https://biblio.ugent.be/publication/4329348Test http://hdl.handle.net/1854/LU-4329348Test https://biblio.ugent.be/publication/4329348/file/4329365Test |
| حقوق: | No license (in copyright) ; info:eu-repo/semantics/restrictedAccess |
| رقم الانضمام: | edsbas.4D84E918 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1542/peds.2012-3225 |
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