CAJ | 학술논문

概述：本文报告1例6岁女童首次发生发作性睡病被误诊为不典型癫痫。之后10个月在8家不同医院被误诊为其他疾病，最后才得以确诊。发作性睡病的诊断在小儿中比较困难，因为睡眠发作、猝倒、入睡前幻觉和睡眠麻痹四个主要症状都存在的病例在儿童中极少见到。患儿往往发作期更长、症状多样化。为了缩短从首次发病到确诊的时间，我们建议对所有不明原因过度睡眠的患儿监测睡眠并进行睡眠潜伏期试验，以排除发作性睡病的可能，而不论其相关症状如何。该病例凸显出罕见精神障碍的表现可以是多种多样的，特别是儿童。这就需要临床医生在采集病史时要充分考虑这些病例的非典型表现。
개술：본문보고1례6세녀동수차발생발작성수병피오진위불전형전간。지후10개월재8가불동의원피오진위기타질병，최후재득이학진。발작성수병적진단재소인중비교곤난，인위수면발작、졸도、입수전환각화수면마비사개주요증상도존재적병례재인동중겁소견도。환인왕왕발작기경장、증상다양화。위료축단종수차발병도학진적시간，아문건의대소유불명원인과도수면적환인감측수면병진행수면잠복기시험，이배제발작성수병적가능，이불론기상관증상여하。해병례철현출한견정신장애적표현가이시다충다양적，특별시인동。저취수요림상의생재채집병사시요충분고필저사병례적비전형표현。
Summary:This report describes a case of first-onset narcolepsy in a six-year-old female that was misdiagnosed as atypical epilepsy and other diagnoses at eight different hospitals over a period of 10 months before the correct diagnosis was made. The diagnosis of narcolepsy is more difficult in children because very few of them experience all four cardinal symptoms of narcolepsy - paroxysmal sleep, cataplexy, hypnagogic hallucination, and sleep paralysis - and they often have a more prolonged onset and diverse symptoms. To decrease the itme lag between iniital presentaiton and accurate diagnosis, we recommend that in all cases in which children report excessive sleep of unknown etiology - regardless of the associated symptoms - that sleep monitoring and sleep latency tests be conducted to rule out the possibility of narcolepsy. The case highlights the wide variety of presentations of uncommon psychiatric condiitons, paritcularly in children, and the need for clinicians to be aware of the atypical presentaitons of these condiitons when collecitng medical histories.