| 기면증 환자의 진단에서 반복적 다중수면잠복기검사의 유용성 |
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한선정, 주은연, 조재욱, 홍승봉 |
1성균관대학교 의과대학 삼성서울병원 신경과
2원광대학교 산본병원 신경과
3부산대병원 신경과 |
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| The Usefulness of Repeated Multiple Sleep Latency Test for the Diagnosis of Narcolepsy |
| Sun Jung Han, Eun Yeon Joo, Jae Wook Cho, Seung Bong Hong |
1Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine
2Department of Neurology, Sanbon Medical Center, Wonkwang University School of Medicine
3Department of Neurology, Pusan University Hospital, Korea |
| Corresponding Author:
Seung Bong Hong ,Tel: +82-2-3410-3592, Fax: +82-2-3410-0052, Email: sbhong@skku.edu |
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Received: June 19, 2008 Accepted: June 27, 2008 Published online: June 30, 2008 |
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| ABSTRACT |
Background: Multiple Sleep Latency Test (MSLT) has been used as an objective measure of daytime sleepiness and for the diagnosis
of narcolepsy. However, the MSLT’s current criteria for narcolepsy may miss narcolepsy. To investigate the usefulness of repeated MSLT
for increasing the sensitivity of narcolepsy diagnosis, we performed the second MSLT in patients whose clinical history includes excessive
daytime sleepiness with or without cataplexy but the first MSLT result did not meet the criteria for narcolepsy.
Method: MSLT was repeated in 27 patients with excessive daytime sleepiness. Each patient had an overnight polysomnography and
the first MSLT in next day. The 2nd MSLT was performed 1-3 months after the first MSLT. Five nap trials were done in each MSLT.
Result: In the 2nd MSLT, nine of 27 patients (33%) with an initial MSLT that did not satisfy the diagnostic criteria of narcolepsy,
met the MSLT criteria for narcolepsy (Mean sleep latency < 8 min and two or more sleep-onset REM periods). The other 16 patients
were diagnosed as idiopathic hypersomnia. Four patients whose history has excessive daytime sleepiness with cataplexy didn’t meet
the MSLT criteria for narcolepsy in both first and second MSLTs.
Conclusion: Our findings suggest that repeated MSLT is valuable for the diagnosis of narcolepsy in patients with suspected narcolepsy
but insufficient result of the first MSLT for narcolepsy criteria.
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| Keywords:
Multiple Sleep Latency Test | Narcolepsy | repeated MSLT |
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