{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T18:30:18Z","timestamp":1766428218926},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"850","license":[{"start":{"date-parts":[[1996,8,1]],"date-time":"1996-08-01T00:00:00Z","timestamp":838857600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1996,8,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>We describe the case of a 34-year-old man who presented intermittent faecal incontinence as a manifestation of cataplexy. The patient\u2019s sleep history was positive for the full narcoleptic tetrad (sleep attacks, cataplexy, sleep paralysis and hypnagogic hallucinations) while extensive neuropsychiatric work up was negative for any neurologic or psychiatric illness. Repeat polysomnograms (including a polysomnogram with a full seizure montage) were positive for pathologic sleepiness, but there was no evidence of a seizure disorder. The course of the patient\u2019s symptomatology and the favourable response of his symptoms to stimulants and imipramine support the theory that his intermittent loss of sphincter control is part of his narcolepsy-cataplexy.<\/jats:p>","DOI":"10.1136\/pgmj.72.850.493","type":"journal-article","created":{"date-parts":[[2008,12,29]],"date-time":"2008-12-29T21:49:00Z","timestamp":1230587340000},"page":"493-494","source":"Crossref","is-referenced-by-count":5,"title":["Narcolepsy-cataplexy and loss of sphincter control"],"prefix":"10.1093","volume":"72","author":[{"given":"A N","family":"Vgontzas","sequence":"first","affiliation":[{"name":"Sleep Research and Treatment Center, Department of Psychiatry, Pennsylvania State University College of Medicine , Hershey, PA 17033 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S E","family":"Sollenberger","sequence":"additional","affiliation":[{"name":"Chambersburg Hospital , Chambersburg, PA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Kales","sequence":"additional","affiliation":[{"name":"Sleep Research and Treatment Center, Department of Psychiatry, Pennsylvania State University College of Medicine , Hershey, PA 17033 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E O","family":"Bixler","sequence":"additional","affiliation":[{"name":"Sleep Research and Treatment Center, Department of Psychiatry, Pennsylvania State University College of Medicine , Hershey, PA 17033 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Vela-Bueno","sequence":"additional","affiliation":[{"name":"Sleep Research and Treatment Center, Department of Psychiatry, Pennsylvania State University College of Medicine , Hershey, PA 17033 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1996,8,1]]},"reference":[{"key":"ref_1","article-title":"Narcolepsy and hypersomnia","author":"Roth, B.","year":"1980","unstructured":"Roth B. Narcolepsy and hypersomnia. Basel: S Karger, 1980."},{"key":"ref_2","first-page":"549","article-title":"Narcolepsy syndrome","volume-title":"1tinciples and practice of sleep medicine","author":"Guilleminault, C.","year":"1994","unstructured":"Guilleminault C. Narcolepsy syndrome. In: Kryger MH, Roth T, Dement WC, eds. 1tinciples and practice of sleep medicine. Philadelphia: WB Saunders Company, 1994; pp 549-61."},{"key":"ref_3","first-page":"164","volume":"39","author":"Kales, A.; Cadieux, R.J.; Soldatos, C.R.","year":"1982","unstructured":"Kales A, Cadieux RJ, Soldatos CR, et al. Narcolepsycataplexy. I. Clinical and electrophysiologic characteristics. Arch Neurol 1982; 39: 164-8.","journal-title":"Clinical and electrophysiologic characteristics. Arch Neurol"},{"key":"ref_4","article-title":"A manual of standardized terminology, techniques and scoring system for the sleep stages of human subjects","volume-title":"Public Health Service, US Government Printing Office","author":"Rechtschaffen, A.; Kales, A.","year":"1968","unstructured":"Rechtschaffen A, Kales A. A manual of standardized terminology, techniques and scoring system for the sleep stages of human subjects. Washington, DC: Public Health Service, US Government Printing Office, 1968."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1111\/j.1600-0404.1987.tb07924.x","article-title":"Diagnostic value of daytime nap recordings","volume":"75","author":"Kales, A.; Bixler, E.O.; Soldatos, R.J.; Cadieux, R.J.; Manfredi, R.; Narcolepsy\/cataplexy., IV, Vela-Bueno A.","year":"1987","unstructured":"Kales A, Bixler EO, Soldatos RJ, Cadieux RJ, Manfredi R, Vela-Bueno A. Narcolepsy\/cataplexy. IV. Diagnostic value of daytime nap recordings. Acta Neurol Scand 1987; 75: 223-30.","journal-title":"Acta Neurol Scand"},{"key":"ref_6","first-page":"265","article-title":"A quantitative polygraphic study of daytime somnolence and sleep in patients with excessive diurnal sleepiness","volume":"135","author":"Roth, B.; Nevsimalova, Sonka; K, Docekal; P.","year":"1984","unstructured":"Roth B, Nevsimalova, Sonka K, Docekal P. A quantitative polygraphic study of daytime somnolence and sleep in patients with excessive diurnal sleepiness. Schweiz Arch Neurol Psychiatr 1984; 135: 265-72.","journal-title":"Schweiz Arch Neurol Psychiatr"},{"key":"ref_7","article-title":"Beitrczge zur Kenntniss der Narkolepsie","author":"Thiele, R.; Bernhardt, H.","year":"1933","unstructured":"Thiele R, Bernhardt H. Beitrczge zur Kenntniss der Narkolepsie. Berlin: S Karger, 1933."}],"container-title":["Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/72\/850\/493\/50220119\/postgradmedj-72-493.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/72\/850\/493\/50220119\/postgradmedj-72-493.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,11]],"date-time":"2023-05-11T05:08:34Z","timestamp":1683781714000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/pmj\/article\/72\/850\/493\/7043969"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1996,8,1]]},"references-count":7,"journal-issue":{"issue":"850","published-online":{"date-parts":[[1996,8,1]]},"published-print":{"date-parts":[[1996,8,1]]}},"URL":"https:\/\/doi.org\/10.1136\/pgmj.72.850.493","relation":{},"ISSN":["0032-5473","1469-0756"],"issn-type":[{"value":"0032-5473","type":"print"},{"value":"1469-0756","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1996,8]]},"published":{"date-parts":[[1996,8,1]]}}}