Misleading hallucinations in unrecognized narcolepsy
Objective: To describe psychosis‐like hallucinatory states in unrecognized narcolepsy. Method: Two patients with hypnagogic/hypnapompic hallucinations are presented. Results: Both patients had realistic and complex – multi‐modal and scenic‐daytime sexual hallucinations leading, in the first case, to...
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| Veröffentlicht in: | Acta psychiatrica Scandinavica 2003-10, Vol.108 (4), p.314-317 |
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| container_title | Acta psychiatrica Scandinavica |
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| creator | Szűcs, A. Janszky, J. Holló, A. Migléczi, G. Halász, P. |
| description | Objective: To describe psychosis‐like hallucinatory states in unrecognized narcolepsy.
Method: Two patients with hypnagogic/hypnapompic hallucinations are presented.
Results: Both patients had realistic and complex – multi‐modal and scenic‐daytime sexual hallucinations leading, in the first case, to a legal procedure because of false accusation, and in the second, to serious workplace conflicts. Both patients were convinced of the reality of their hallucinatory experiences but later both were able to recognize their hallucinatory character. Clinical data, a multiple sleep latency test, polysomnography, and HLA typing revealed that both patients suffered from narcolepsy.
Conclusion: We suggest that in unrecognized narcolepsy with daytime hypnagogic/hypnapompic hallucinations the diagnostic procedure may mistakenly incline towards delusional psychoses. Daytime realistic hypnagogic/hypnapompic hallucinations may also have forensic consequences and mislead legal evaluation. Useful clinical features in differentiating narcolepsy from psychoses are: the presence of other narcoleptic symptoms, features of hallucinations, and response to adequate medication. |
| doi_str_mv | 10.1034/j.1600-0447.2003.00114.x |
| format | Article |
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Method: Two patients with hypnagogic/hypnapompic hallucinations are presented.
Results: Both patients had realistic and complex – multi‐modal and scenic‐daytime sexual hallucinations leading, in the first case, to a legal procedure because of false accusation, and in the second, to serious workplace conflicts. Both patients were convinced of the reality of their hallucinatory experiences but later both were able to recognize their hallucinatory character. Clinical data, a multiple sleep latency test, polysomnography, and HLA typing revealed that both patients suffered from narcolepsy.
Conclusion: We suggest that in unrecognized narcolepsy with daytime hypnagogic/hypnapompic hallucinations the diagnostic procedure may mistakenly incline towards delusional psychoses. Daytime realistic hypnagogic/hypnapompic hallucinations may also have forensic consequences and mislead legal evaluation. Useful clinical features in differentiating narcolepsy from psychoses are: the presence of other narcoleptic symptoms, features of hallucinations, and response to adequate medication.</description><identifier>ISSN: 0001-690X</identifier><identifier>EISSN: 1600-0447</identifier><identifier>DOI: 10.1034/j.1600-0447.2003.00114.x</identifier><identifier>PMID: 12956834</identifier><language>eng</language><publisher>Oxford, UK: Munksgaard International Publishers</publisher><subject>Adult ; delusion ; Diagnosis, Differential ; differential diagnosis ; Female ; hallucination ; Hallucinations - etiology ; Humans ; hypnagogic ; Male ; Middle Aged ; narcolepsy ; Narcolepsy - complications ; Narcolepsy - diagnosis ; psychosis ; Psychotic Disorders - diagnosis ; Psychotic Disorders - psychology ; Sexuality</subject><ispartof>Acta psychiatrica Scandinavica, 2003-10, Vol.108 (4), p.314-317</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3654-8b53cb45b7a356152b0bdd67fac6fe1678381bf321177bb63c54aa3584a29c543</citedby><cites>FETCH-LOGICAL-c3654-8b53cb45b7a356152b0bdd67fac6fe1678381bf321177bb63c54aa3584a29c543</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1034%2Fj.1600-0447.2003.00114.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1034%2Fj.1600-0447.2003.00114.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12956834$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Szűcs, A.</creatorcontrib><creatorcontrib>Janszky, J.</creatorcontrib><creatorcontrib>Holló, A.</creatorcontrib><creatorcontrib>Migléczi, G.</creatorcontrib><creatorcontrib>Halász, P.</creatorcontrib><title>Misleading hallucinations in unrecognized narcolepsy</title><title>Acta psychiatrica Scandinavica</title><addtitle>Acta Psychiatr Scand</addtitle><description>Objective: To describe psychosis‐like hallucinatory states in unrecognized narcolepsy.
Method: Two patients with hypnagogic/hypnapompic hallucinations are presented.
Results: Both patients had realistic and complex – multi‐modal and scenic‐daytime sexual hallucinations leading, in the first case, to a legal procedure because of false accusation, and in the second, to serious workplace conflicts. Both patients were convinced of the reality of their hallucinatory experiences but later both were able to recognize their hallucinatory character. Clinical data, a multiple sleep latency test, polysomnography, and HLA typing revealed that both patients suffered from narcolepsy.
Conclusion: We suggest that in unrecognized narcolepsy with daytime hypnagogic/hypnapompic hallucinations the diagnostic procedure may mistakenly incline towards delusional psychoses. Daytime realistic hypnagogic/hypnapompic hallucinations may also have forensic consequences and mislead legal evaluation. Useful clinical features in differentiating narcolepsy from psychoses are: the presence of other narcoleptic symptoms, features of hallucinations, and response to adequate medication.</description><subject>Adult</subject><subject>delusion</subject><subject>Diagnosis, Differential</subject><subject>differential diagnosis</subject><subject>Female</subject><subject>hallucination</subject><subject>Hallucinations - etiology</subject><subject>Humans</subject><subject>hypnagogic</subject><subject>Male</subject><subject>Middle Aged</subject><subject>narcolepsy</subject><subject>Narcolepsy - complications</subject><subject>Narcolepsy - diagnosis</subject><subject>psychosis</subject><subject>Psychotic Disorders - diagnosis</subject><subject>Psychotic Disorders - psychology</subject><subject>Sexuality</subject><issn>0001-690X</issn><issn>1600-0447</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMtOAyEUhonR2Fp9BTMrdzPCcO3CRdN4S2o0URN3BBim0lCmDp3Y-vQyttGtKw6H7_wnfABkCBYIYnK5KBCDMIeE8KKEEBcQIkSKzQEY_j4cgiFM7ZyN4dsAnMS4SFeKoDgGA1SOKROYDAF5cNFbVbkwz96V951xQa1dE2LmQtaF1ppmHtyXrbKgWtN4u4rbU3BUKx_t2f4cgdeb65fpXT57vL2fTma5wYySXGiKjSZUc4UpQ7TUUFcV47UyrLaIcYEF0jUuEeJca4YNJSqhgqhynGo8Ahe73FXbfHQ2ruXSRWO9V8E2XZQcc5S-xxIodqBpmxhbW8tV65aq3UoEZW9MLmQvRvZiZG9M_hiTmzR6vt_R6aWt_gb3ihJwtQM-nbfbfwfLyfTpOVX4G4wqeVA</recordid><startdate>200310</startdate><enddate>200310</enddate><creator>Szűcs, A.</creator><creator>Janszky, J.</creator><creator>Holló, A.</creator><creator>Migléczi, G.</creator><creator>Halász, P.</creator><general>Munksgaard International Publishers</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200310</creationdate><title>Misleading hallucinations in unrecognized narcolepsy</title><author>Szűcs, A. ; Janszky, J. ; Holló, A. ; Migléczi, G. ; Halász, P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3654-8b53cb45b7a356152b0bdd67fac6fe1678381bf321177bb63c54aa3584a29c543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adult</topic><topic>delusion</topic><topic>Diagnosis, Differential</topic><topic>differential diagnosis</topic><topic>Female</topic><topic>hallucination</topic><topic>Hallucinations - etiology</topic><topic>Humans</topic><topic>hypnagogic</topic><topic>Male</topic><topic>Middle Aged</topic><topic>narcolepsy</topic><topic>Narcolepsy - complications</topic><topic>Narcolepsy - diagnosis</topic><topic>psychosis</topic><topic>Psychotic Disorders - diagnosis</topic><topic>Psychotic Disorders - psychology</topic><topic>Sexuality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Szűcs, A.</creatorcontrib><creatorcontrib>Janszky, J.</creatorcontrib><creatorcontrib>Holló, A.</creatorcontrib><creatorcontrib>Migléczi, G.</creatorcontrib><creatorcontrib>Halász, P.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta psychiatrica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Szűcs, A.</au><au>Janszky, J.</au><au>Holló, A.</au><au>Migléczi, G.</au><au>Halász, P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Misleading hallucinations in unrecognized narcolepsy</atitle><jtitle>Acta psychiatrica Scandinavica</jtitle><addtitle>Acta Psychiatr Scand</addtitle><date>2003-10</date><risdate>2003</risdate><volume>108</volume><issue>4</issue><spage>314</spage><epage>317</epage><pages>314-317</pages><issn>0001-690X</issn><eissn>1600-0447</eissn><abstract>Objective: To describe psychosis‐like hallucinatory states in unrecognized narcolepsy.
Method: Two patients with hypnagogic/hypnapompic hallucinations are presented.
Results: Both patients had realistic and complex – multi‐modal and scenic‐daytime sexual hallucinations leading, in the first case, to a legal procedure because of false accusation, and in the second, to serious workplace conflicts. Both patients were convinced of the reality of their hallucinatory experiences but later both were able to recognize their hallucinatory character. Clinical data, a multiple sleep latency test, polysomnography, and HLA typing revealed that both patients suffered from narcolepsy.
Conclusion: We suggest that in unrecognized narcolepsy with daytime hypnagogic/hypnapompic hallucinations the diagnostic procedure may mistakenly incline towards delusional psychoses. Daytime realistic hypnagogic/hypnapompic hallucinations may also have forensic consequences and mislead legal evaluation. Useful clinical features in differentiating narcolepsy from psychoses are: the presence of other narcoleptic symptoms, features of hallucinations, and response to adequate medication.</abstract><cop>Oxford, UK</cop><pub>Munksgaard International Publishers</pub><pmid>12956834</pmid><doi>10.1034/j.1600-0447.2003.00114.x</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult delusion Diagnosis, Differential differential diagnosis Female hallucination Hallucinations - etiology Humans hypnagogic Male Middle Aged narcolepsy Narcolepsy - complications Narcolepsy - diagnosis psychosis Psychotic Disorders - diagnosis Psychotic Disorders - psychology Sexuality |
| title | Misleading hallucinations in unrecognized narcolepsy |
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