Kleine–Levin syndrome | kleine-levin syndrome

Kleine–Levin syndrome (KLS) is a rare disorder characterized by persistent episodic hypersomnia and cognitive or mood changes. Many patients also ...Kleine–LevinsyndromeFromWikipedia,thefreeencyclopediaJumptonavigationJumptosearchKleine–LevinsyndromeOthernamesFamilialhibernationsyndrome[1]SpecialtyNeurology Kleine–Levinsyndrome(KLS)isararedisordercharacterizedbypersistentepisodichypersomniaandcognitiveormoodchanges.Manypatientsalsoexperiencehyperphagia,hypersexualityandothersymptoms.Patientsgenerallyexperiencerecurrentepisodesoftheconditionformorethanadecadeandmayreturnatalaterage.Individualepisodesgenerallylastmorethanaweek,sometimeslastingformonths.Theconditiongreatlyaffectsthepersonal,professional,andsociallivesofsufferers.Theseverityofsymptomsandthecourseofthesyndromevarybetweensufferers.Patientscommonlyhaveabout20episodesoveraboutadecade.Severalmonthsgenerallyelapsebetweenepisodes.Theonsetoftheconditionusuallyfollowsaviralinfection;severaldifferentviruseshavebeenobservedtotriggerKLS.Itisgenerallyonlydiagnosedaftersimilarconditionshavebeenexcluded;MRI,CTscans,lumbarpuncture,andtoxicologytestsareusedtoruleoutotherpossibilities.Thesyndrome'smechanismisnotknown,butthethalamusisthoughttopossiblyplayarole.SPECThasshownthalamichypoperfusionofpatientsduringepisodes.KLSisveryrare,occurringatarateof1in1million,whichlimitsresearchintogeneticfactors.Theconditionprimarilyaffectsadolescentmales,thoughfemalescanalsobeaffectedandtheageofonsetvaries.Thereisnoknowncure,andthereislittleevidencesupportingdrugtreatment.Lithiumhasbeenreportedtohavelimitedeffectsincasereports,decreasingthelengthofepisodesanddurationbetweentheminsomepatients.[2]Stimulantshavebeenshowntopromotewakefulnessduringepisodes,buttheydonotcounteractcognitivesymptomsordecreasethedurationofepisodes.TheconditionisnamedafterWilliKleineandMaxLevin,[3]whodescribedcasesofthediseaseintheearly20thcentury.ItwasaddedtotheInternationalClassificationofSleepDisordersin1990.Contents1Symptoms2Cause3Diagnosis4Prevention5Treatm


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