Narcolepsy with cataplexy in children

Abstract

Narcolepsy with cataplexy is a rare chronic condition without cure that can be controlled if treated adequately. The disease often starts in childhood and adolescence. Excessive daytime somnolence is the main symptom for which parents consult in somnology. Cataplexy, which corresponds to loss of tonus without loss of consciousness can appear later.

Other less specific symptoms can be identified such as hallucinations at sleep onset or at wake-up time, sleep paralysis and disturbed night time sleep.

The disease has major repercussions on school life and family life. Treatment with stimulants is required, together with good sleep/wake hygiene, treatment of the co-morbidities, psychological support of the child and his family and eventual school measures to allow for uncontrolled excessive daytime somnolence.

Rapid identification and treatment of the disease increases the chances of better integration in society as it will favor completion of studies and normalize professional life.