Abstract
Narcolepsy is rarely diagnosed before adulthood; however, symptoms often begin much earlier and easily can mimic psychiatric disorders in children and adolescents. Clinical experience from a pediatric sleep center is reviewed regarding the presentation, diagnosis, and treatment of early-onset narcolepsy. The varied clinical presentations, polysomnographic findings, family history, and associated psychiatric symptoms are described. The importance of considering narcolepsy in the differential diagnosis of any child or adolescent with excessive sleepiness is emphasized.
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