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Differential diagnosis of cataplexy and generalized epilepsy. Case report
A. V. Lebedeva,
N. V. Pantina,
A. P. Efimenko,
V. V. Volokitin,
T. A. Bokitko,
I. I. Kovaleva,
M. A. Beskhlebnaia,
A. I. Tolmacheva,
V. V. Stoyakina https://doi.org/10.33667/2078-5631-2024-12-20-23
Abstract
Cataplexy is rare disease, the main clinical features of which are loss of muscle tone without loss of consciousness, associated with specific factors such as laughter, and less often fear, anger or crying. The differential diagnosis of epileptic seizures and cataplexy is often difficult because of similar clinical features. Establishing the diagnosis of cataplexy is important because in most cases it is associated with narcolepsy; in addition, misinterpretation of cataplexy can lead to hyperdiagnosis of epilepsy or wrong efficiency mark of antiepileptic drugs. Clinical and instrumental examination is necessary to establish the right diagnosis. Literature review and own clinical case is described.
About the Authors
A. V. Lebedeva
Federal Center of Brain Research and Nurotechnologies of Federal Medical Biological Agency; N.I. Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Lebedeva Anna V., DM Sci (habil.), professor at Dept of Neurology, Neurosurgery and Medical Genetics of Faculty of Medicine
Moscow
N. V. Pantina
Federal Center of Brain Research and Nurotechnologies of Federal Medical Biological Agency
Russian Federation
Russian Federation
Pantina Nina V., functional diagnostics doctor, junior researcher at Dept of Epilepsy and Paroxysmal Diseases
Moscow
A. P. Efimenko
Federal Center of Brain Research and Nurotechnologies of Federal Medical Biological Agency
Russian Federation
Russian Federation
Efimenko Alexander P., junior researcher
Moscow
V. V. Volokitin
Federal Center of Brain Research and Nurotechnologies of Federal Medical Biological Agency
Russian Federation
Russian Federation
Volokitin Vladimir V., functional diagnostics doctor, junior researcher at Dept of Epilepsy and Paroxysmal Diseases
Moscow
T. A. Bokitko
Federal Center of Brain Research and Nurotechnologies of Federal Medical Biological Agency
Russian Federation
Russian Federation
Bokitko Tatyana A., functional diagnostics doctor
Moscow
I. I. Kovaleva
Federal Center of Brain Research and Nurotechnologies of Federal Medical Biological Agency
Russian Federation
Russian Federation
Kovaleva Irina I., neurologist, junior researcher at Dept of Epilepsy and Paroxysmal Diseases
Moscow
M. A. Beskhlebnaia
N.I. Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Beskhlebnaya Maria A., student
Moscow
A. I. Tolmacheva
N.I. Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Tolmacheva Alina I., student
Moscow
V. V. Stoyakina
N.I. Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Stoyakina Veronica V., student
Moscow
References
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Review
For citations:
Lebedeva A.V., Pantina N.V., Efimenko A.P., Volokitin V.V., Bokitko T.A., Kovaleva I.I., Beskhlebnaia M.A., Tolmacheva A.I., Stoyakina V.V. Differential diagnosis of cataplexy and generalized epilepsy. Case report. Medical alphabet. 2024;(12):20-23. (In Russ.) https://doi.org/10.33667/2078-5631-2024-12-20-23
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