Narcolepsy: investigations

Evidence-based neurology checklist on narcolepsy: investigations: HLA associations HLA-DR2 HLA-DQB1*0602 Cerebrospinal fluid (CSF) hypocretin: values Cerebrospinal fluid (CSF) hypocretin: causes of intermediate low levels Multiple sleep latency test (MSLT) Aquaporin 4 antibodies

HLA associations

  • HLA-DR2
  • HLA-DQB1*0602

Cerebrospinal fluid (CSF) hypocretin: values

Cerebrospinal fluid (CSF) hypocretin: causes of intermediate low levels

Multiple sleep latency test (MSLT)

Aquaporin 4 antibodies

References

  1. Fontana A, Gast H, Reith W, et al. Narcolepsy: autoimmunity, effector T cell activation due to infection, or T cell independent major histocompatibility complex class II induced neuronal loss? Brain 2010; 133:1300-1311.
  2. Ebrahim IO, Sharief MK, de Lacy S, et al. Hypocretin (orexin) deficiency in narcolepsy and primary hypersomnia. JNNP 2003; 74:127-130.
  3. Mignot E, Lammers GJ, Ripley B, et al. The role of cerebrospinal fluid hypocretin measurement in the diagnosis of narcolepsy and other hypersomnia. Arch Neurol 2002; 59:1553-1562.
  4. Biscarini F, Vandi S, Neccia G, et al. To diagnose Narcolepsy type 1 after a negative multiple sleep latency test: the contribution of systematic hypocretin measurement. Sleep 2026 (Online ahead of print).
  5. Billiard M, Bassetti C, Dauvilliers Y, et al; EFNS Task Force. EFNS guidelines on management of narcolepsy. Eur J Neurol 2006; 13:1035-1048.
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