A shaggy dog storyBMJ 2012; 345 doi: http://dx.doi.org/10.1136/bmj.e7751 (Published 13 December 2012) Cite this as: BMJ 2012;345:e7751
- Olivier Le Bon, head of department of psychiatry1,
- Paul Linkowski, head of department of psychiatry2
- 1Université Libre de Bruxelles, Hôpital Tivoli, Laboratoire de recherches psychiatriques ULB, La Louvière, Belgium
- 2Université Libre de Bruxelles, Hôpital Erasme, Laboratoire de recherches psychiatriques ULB, Bruxelles, Belgium
Our 35 year old patient has severe excessive daytime sleepiness, resulting from a combination of narcolepsy, sleep apnoea, and hypopnea syndrome. She also had bipolar disorder and a body mass index of 34. Sleep attacks occurred three to six times a day. When she was depressed, she slept up to 16 hours a day.
Until recently, this severe sleepiness considerably hampered her social life …