PMID- 18175082
OWN - NLM
STAT- MEDLINE
DCOM- 20080612
LR  - 20181113
IS  - 1590-1874 (Print)
IS  - 1590-1874 (Linking)
VI  - 28
IP  - 6
DP  - 2007 Dec
TI  - Status cataplecticus misdiagnosed as recurrent syncope.
PG  - 336-8
LID - 10.1007/s10072-007-0849-2 [doi]
AB  - A 76-year-old patient, since the age of 45, presented with frequent attacks often 
      triggered by emotional stimuli and characterised by forward head drop and a fall 
      to the ground without loss of consciousness. Clinically these episodes were 
      misinterpreted as pseudoseizures and treated with clomipramine for more than 20 
      years. In spite of this chronic therapy, during the last year, the attacks 
      presented with a daily recurrence and, moreover, after arbitrary clomipramine 
      withdrawal, they increased in frequency until they became subcontinuous. 
      Videopolygraphic analysis, multiple sleep latency test (MSLT) and human leukocyte 
      antigen (HLA) association studies were suggestive of narcolepsy and the recurrent 
      episodes, diagnosed as status cataplecticus, recovered after citalopram 
      administration.
FAU - Calabro, R S
AU  - Calabro RS
AD  - Department of Neurosciences Neurological Division, University of Messina, 
      Messina, Italy. salbro77@tiscali.it
FAU - Savica, R
AU  - Savica R
FAU - Lagana, A
AU  - Lagana A
FAU - Magaudda, A
AU  - Magaudda A
FAU - Imbesi, D
AU  - Imbesi D
FAU - Gallitto, G
AU  - Gallitto G
FAU - La Spina, P
AU  - La Spina P
FAU - Musolino, R
AU  - Musolino R
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20080104
PL  - Italy
TA  - Neurol Sci
JT  - Neurological sciences : official journal of the Italian Neurological Society and 
      of the Italian Society of Clinical Neurophysiology
JID - 100959175
RN  - 0 (HLA-DQ Antigens)
RN  - 0 (HLA-DQ beta-Chains)
RN  - 0 (HLA-DQ1 antigen)
RN  - 0 (HLA-DQB1 antigen)
RN  - 0 (HLA-DR2 Antigen)
SB  - IM
MH  - Aged
MH  - Cataplexy/*diagnosis
MH  - *Diagnostic Errors
MH  - Electroencephalography/methods
MH  - HLA-DQ Antigens/analysis
MH  - HLA-DQ beta-Chains
MH  - HLA-DR2 Antigen/analysis
MH  - Humans
MH  - Magnetic Resonance Imaging
MH  - Male
MH  - Recurrence
MH  - Syncope/*diagnosis/physiopathology
EDAT- 2008/01/05 09:00
MHDA- 2008/06/13 09:00
CRDT- 2008/01/05 09:00
PHST- 2006/03/26 00:00 [received]
PHST- 2007/09/13 00:00 [accepted]
PHST- 2008/01/05 09:00 [pubmed]
PHST- 2008/06/13 09:00 [medline]
PHST- 2008/01/05 09:00 [entrez]
AID - 10.1007/s10072-007-0849-2 [doi]
PST - ppublish
SO  - Neurol Sci. 2007 Dec;28(6):336-8. doi: 10.1007/s10072-007-0849-2. Epub 2008 Jan 
      4.