[PTSD， ADHD和嗜睡症的重叠]。

Q4 Medicine

Ugeskrift for laeger Pub Date : 2025-05-12 DOI:10.61409/V10240757

Tania Mariager, Helene Speyer, Laura Ponsaing

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引用次数: 0

摘要

本病例报告描述了一名患有精神和代谢疾病以及2型糖尿病的29岁女性的ADHD诊断，并接受了严重创伤后应激障碍的治疗。她白天过度嗜睡，由于诊断的阴影，最初归因于她的精神疾病，延误了诊断和治疗。由于突发睡眠发作和睡眠时间长得多，这危及了她的日常生活。根据多导睡眠图、多次睡眠潜伏期试验和脑脊液检查，诊断为2型发作性睡病。用哌醋甲酯治疗成功地减少了她白天过度嗜睡，并在一定程度上减少了她过度的睡眠需求。

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[Overlap between PTSD, ADHD, and narcolepsy].

This case report describes the diagnosis of ADHD in a 29-year-old woman suffering from psychiatric and metabolic conditions and type 2 diabetes, receiving treatment for severe PTSD. She developed excessive daytime sleepiness, which, due to diagnostic overshadowing, initially was attributed to her psychiatric illness, delaying diagnosis and treatment. This jeopardized her daily life due to incidents of sudden sleep attacks and much longer sleeping times. The diagnosis of narcolepsy type 2 was given based on polysomnography, multiple sleep latency tests, and examination of the cerebrospinal fluid. Treatment with methylphenidate was successful in reducing her excessive daytime sleepiness and, to some extent, her excessive need to sleep.

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来源期刊

Ugeskrift for laeger Medicine-Medicine (all)

CiteScore

0.20

自引率

0.00%

发文量

345

期刊介绍： The Ulster Medical Journal is an international general medical journal with contributions on all areas of medical and surgical specialties relevant to a general medical readership. It retains a focus on material relevant to the health of the Northern Ireland population. The Honorary Editor would welcome offers of papers for publication. Prospective authors are invited to read the notice to contributors.