Narcolepsy, Pediatric

Jennifer A. Accardo Reviewed 06/2017
 


Basics

Description

  • Lifelong neurologic disorder that often initially manifests in childhood or adolescence and can cause significant functional impairment and disability

  • Excessive daytime sleepiness and...

Diagnosis

History

  • Excess daytime sleepiness starting with recurrence of naps may be early signs of disease.

  • In adults, naps tend to be restorative but are more likely to be described as “unrefreshing” i...

Treatment

Medication

  • Daytime sleepiness

    • Methylphenidate, 5–30 mg/24 h (max 60 mg/24 h). Consider other long-acting formulations such as Concerta, Ritalin LA, Metadate CD, Focalin XR, etc.

    • Dextroamphetami...

Ongoing Care

Prognosis

Children with narcolepsy can be expected to have normal life expectancy and normal intellectual functioning. Lifestyle and medication treatments to reduce sleepiness and cataplex...

Additional Reading

  • Aran  A, Einen  M, Lin  L, et al. Clinical and therapeutic aspects of childhood narcolepsy-cataplexy: a retrospective study of 51 children. Sleep.  2010;33(11):1457–1464. [View...

Codes

ICD09

  • 347.00 Narcolepsy, without cataplexy

  • 347.01 Narcolepsy, with cataplexy

  • 347.10 Narcolepsy in conditions classified elsewhere, without cataplexy

  • 347.11 Narcolepsy in conditions classified elsewh...

FAQ

  • Q: What is the chance that a sibling of the patient may develop narcolepsy?

  • A: There is a 1% possibility that siblings and offspring could be affected.

  • Q: Will a patient with narcolepsy be able to d...

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