Syncope masquerading narcolepsy- An unusual presentation

Abstract

Narcolepsy is a rare disorder of sleep wake cycle which can result in persistent excessive day time sleepiness. It is due to the deficiency of the Orexin/Hypocretin in the body. Most of these cases are reported in young adults and are difficult to diagnose early. This can lead to serious impairments in social and occupational settings if not promptly treated. Thus we are reporting an interesting case of a teenager who presented with falls. He was diagnosed with nocturnal Polysomnography followed by Multiple Sleep Latency Test (MSLT), and he significantly benefitted from treatment with Modafinil.