Saturday, 01 July 2017
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I have a 13 yr old girl with hypersomnolence. Her mother has a confirmed diagnosis of narcolepsy (without cataplexy). Her csf hypocretin/orexin levels are however normal. Would it still be possible to make a clinical diagnosis of narcolepsy? Would a trial of modafinil be justified in this case? or would you consider another stimulant?
She is awaiting a polysomnogram/MSLT. Neuroimaging is normal. Normal neurological examination
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