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URL: 
http://caspjim.com/article-1-2576-en.html   
                    
                    
                    
					 
					
                 
                
                    
                    
                    
                    Department of Psychiatry, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran , javad_setareh@yahoo.com
                    
                    
                    Abstract:       (2752 Views)
                    
                    
                    Background: Kleine-Levin syndrome (KLS) is a rare sleep disorder with at least two episodes of hypersomnia coincidence with at least one cognitive, eating, perceptive and disinhibited symptoms and normal inter-episodes. These symptoms are not explained by another sleep, medical, neurological, psychiatric disorders and substance or drug use. 
Case Presentation: Here we report a young female with personality disorder and obsessive-compulsive disorder who had KLS. Her symptoms appeared in the past 1.5 years ago, while she had an episode of hypersomnia lasting for 5 days. She had 4 attacks; each one lasted up to 2-7 days. We found that overriding KLS symptoms on underlying main psychiatric or personality disorders complicates diagnosis. All neurological examinations during episode and further investigation were in normal range. 
Conclusion: We suggest that taking a complete history and mental state examination in the episode and inter episode phase helps to diagnosis both KLS and comorbid psychiatric disorders.
                     
                    
                    
                    
                    
                    Policy Brief:  
case report |
                    Subject: 
                    
psychiatry  Received: 2020/11/4 | Accepted: 2021/12/4 | Published: 2023/01/11