epilepsiaEpilepsy and paroxysmal conditionsЭпилепсия и пароксизмальные состояния2077-83332311-4088IRBIS LLC10.17749/2077-8333/epi.par.con.2024.197epilepsia-1146Research ArticleCLINICAL CASESКЛИНИЧЕСКИЕ СЛУЧАИIssues related to differential diagnosis of epilepsy and narcolepsyПроблемы дифференциальной диагностики эпилепсии и нарколепсииhttps://orcid.org/0000-0002-1294-3116КантимироваЕ. А.KantimirovaE. A.

Кантимирова Елена Анатольевна - к.м.н., доцент.

ул. Партизана Железняка, д. 1, Красноярск, 660022

WoS ResearcherID AAJ-2986-2020

Elena А. Kantimirova - PhD, Assoc. Prof.

1 Partizan Zheleznyak Str., Krasnoyarsk, 660022

WoS ResearcherID AAJ-2986-2020

kantilea@mail.ruhttps://orcid.org/0000-0003-4639-6365ДмитренкоД. В.DmitrenkoD. V.

Дмитренко Диана Викторовна - д.м.н., доцент.

ул. Партизана Железняка, д. 1, Красноярск, 660022

WoS ResearcherID H-7787-2016

Diana V. Dmitrenko - Dr. Sci. Med., Assoc. Prof.

1 Partizan Zheleznyak Str., Krasnoyarsk, 660022

WoS ResearcherID H-7787-2016

Федеральное государственное бюджетное образовательное учреждение высшего образования «Красноярский государственный медицинский университет им. профессора В.Ф. Войно-Ясенецкого» Министерства здравоохранения Российской ФедерацииРоссияVoino-Yasenetsky Krasnoyarsk State Medical UniversityRussian Federation202418012025164327332Copyright © Kantimirova E.A., Dmitrenko D.V., 20252025Кантимирова Е.А., Дмитренко Д.В.Kantimirova E.A., Dmitrenko D.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.epilepsia.su/jour/article/view/1146

A differential diagnosis of epileptic and non-epileptic paroxysms is particularly difficult to conduct during a neurologist consultation. Narcolepsy is a chronic disease that causes excessive daytime sleepiness. Some narcolepsy symptoms, especially cataplexy, can be mistakenly interpreted as epileptic seizures. The clinical case demonstrates an importance for interdisciplinary approach to differential diagnosis of epileptic seizures. Clinical markers of typical and atypical cataplexy manifestations are presented.

Особенную сложность на приеме врача-невролога представляет дифференциальная диагностика эпилептических и неэпилептических пароксизмов. Нарколепсия – это хроническое заболевание, одним из проявлений которого является чрезмерная дневная сонливость. Некоторые симптомы нарколепсии, особенно катаплексия, могут быть очень похожи на эпилептические приступы. Представленное наблюдение демонстрирует важность междисциплинарного подхода при проведении дифференциальной диагностики эпилептических приступов. Приведены клинические маркеры типичных и атипичных проявлений катаплексии, критерии диагностики нарколепсии.

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The authors declare that there are no conflicts of interest present.