:: Volume 14, Issue 1 (Winter 2023) ::
Caspian J Intern Med 2023, 14(1): 150-152 Back to browse issues page
Kleine Levine Syndrome comorbid with obsessive compulsive disorder and personality disorder, A Case Report
Pezhman Hadinezhad , Javad Setareh * , Parisa Adimi naghan
Department of Psychiatry, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran , javad_setareh@yahoo.com
Abstract:   (1119 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.
Keywords: Kleine levine syndrom, obsessive compulsive disorder, Hypersomnia, case report
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Type of Study: case report | Subject: psychiatry
Received: 2020/11/4 | Accepted: 2021/12/4 | Published: 2023/01/11

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Volume 14, Issue 1 (Winter 2023) Back to browse issues page