Narcolepsy-cataplexy and loss of sphincter control

A. N. Vgontzas, S. E. Sollenberger, A. Kales, E. O. Bixler, A. Vela-Bueno

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


We describe the case of a 34-year-old man who presented intermittent faecal incontinence as a manifestation of cataplexy. The patient's sleep history was positive for the full narcoleptic tetrad (sleep attacks, cataplexy, sleep paralysis and hypnagogic hallucinations) while extensive neuropsychiatric work up was negative for any neurologic or psychiatric illness. Repeat polysomnograms (including a polysomnogram with a full seizure montage) were positive for pathologic sleepiness, but there was no evidence of a seizure disorder. The course of the patient's symptomatology and the favourable response of his symptoms to stimulants and imipramine support the theory that his intermittent loss of sphincter control is part of his narcolepsy-cataplexy.

Original languageEnglish (US)
Pages (from-to)493-494
Number of pages2
JournalPostgraduate Medical Journal
Issue number850
StatePublished - 1996

All Science Journal Classification (ASJC) codes

  • Medicine(all)


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