{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,15]],"date-time":"2023-10-15T05:34:00Z","timestamp":1697348040575},"reference-count":19,"publisher":"Royal College of Psychiatrists","issue":"438","license":[{"start":{"date-parts":[[2018,2,8]],"date-time":"2018-02-08T00:00:00Z","timestamp":1518048000000},"content-version":"unspecified","delay-in-days":21588,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. ment. sci"],"published-print":{"date-parts":[[1959,1]]},"abstract":"<jats:p>For some years now it has been recognized that the symptoms induced by hypoglycaemia may resemble narcolepsy. Cases of islet-celled pancreatic adenomas simulating narcolepsy have been described by Harris (7), Delay (4) and Wyke (18). The resemblance may be a superficial one, however, and Wyke observed in his case during a \u201csleepy attack\u201d that \u201cthe EEG pattern bore no resemblance to that of natural or artificial sleep\u201d. In a more recent paper Ziegler and Presthus (19) described thirteen patients who showed normal EEGs at blood glucose levels (induced by fasting and intravenous insulin) of from under 15 mg. per cent. to 54 mg. per cent. In eight of these patients there were no clinical symptoms; in the remaining five patients the symptoms were described as follows: \u201cfeel like a ton of lead\u201d, \u201cwarm and sleepy\u201d, \u201ctired\u201d, \u201cdrowsy and sweaty\u201d and \u201cdizzy and tired\u201d. It seems, in fact, that the clinical description of drowsiness in hypoglycaemia may correspond either to no EEG changes or to various degrees of slowing rather than to the typical recurrent light sleep patterns characteristic of narcolepsy. It will be recalled that hypnosis too is ushered in by a sense of drowsiness but that the EEG changes are not those of sleep (1, 2, 5). Many hysterical trance states\u2014often loosely, and unfortunately, described as narcolepsy\u2014come into this category. In short, it is apparent that all that sleeps is not narcolepsy (6, 12, 13, 14).<\/jats:p>","DOI":"10.1192\/bjp.105.438.163","type":"journal-article","created":{"date-parts":[[2008,8,6]],"date-time":"2008-08-06T14:02:31Z","timestamp":1218031351000},"page":"163-170","source":"Crossref","is-referenced-by-count":2,"title":["Narcolepsy and Hypoglycaemia"],"prefix":"10.1192","volume":"105","author":[{"given":"Colin M.","family":"Smith","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. A.","family":"Schneider","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"170","published-online":{"date-parts":[[2018,2,8]]},"reference":[{"key":"S0368315X00049598_ref12","unstructured":"Smith C. M. , \u201cComments and Observations on Psychogenic Hypersomnia\u201d, A.M.A. Arch. Neurol. Psychiat. (In press.)"},{"key":"S0368315X00049598_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/0013-4694(56)90084-0"},{"key":"S0368315X00049598_ref14","unstructured":"Idem , \u201cPsychosomatic Aspects of Narcolepsy\u201d. 1958. Unpublished M.D. Thesis submitted to University of Glasgow."},{"key":"S0368315X00049598_ref5","doi-asserted-by":"publisher","DOI":"10.1001\/archneurpsyc.1947.02300240100006"},{"key":"S0368315X00049598_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/0013-4694(57)90114-1"},{"key":"S0368315X00049598_ref15","doi-asserted-by":"publisher","DOI":"10.1097\/00005053-195504000-00002"},{"key":"S0368315X00049598_ref11","doi-asserted-by":"crossref","unstructured":"Idem , \u201cThe Effect of Phenylephrine, Methamphetamine, Cocaine and Serotonin upon the Adrenaline-Sensitive Component of the Reticular Activating System\u201d, ibid., 1957, 9, 409\u2013417.","DOI":"10.1016\/0013-4694(57)90030-5"},{"key":"S0368315X00049598_ref2","doi-asserted-by":"crossref","unstructured":"Idem , \u201cBrain Wave Patterns during Hypnosis, Hypnotic Sleep and Normal Sleep\u201d, A.M.A. Arch. Neurol. Psychiat., 1949, 62, 412\u2013420.","DOI":"10.1001\/archneurpsyc.1949.02310160032002"},{"key":"S0368315X00049598_ref6","unstructured":"Goldstein N. P. , and Giffin M. E. , \u201cFunctional Hypersomnia (\u2018Pseudo-narcolepsy\u2019)\u201d, Paper read at A.P.A. Annual Meeting, 1958."},{"key":"S0368315X00049598_ref16","first-page":"153","article-title":"\u201cInsulin Hypoglycaemia in the Treatment of Narcolepsy with Temporary Improvement\u201d","volume":"10","author":"Weitzner","year":"1952","journal-title":"Permanente Found. Bull."},{"key":"S0368315X00049598_ref4","first-page":"375","article-title":"\u201cNarcolepsie et Hypoglycemie\u201d","volume":"100","author":"Delay","year":"1942","journal-title":"Ann. M\u00e9d.-Psychol."},{"key":"S0368315X00049598_ref7","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1933.02740050017006"},{"key":"S0368315X00049598_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/0013-4694(52)90060-6"},{"key":"S0368315X00049598_ref9","unstructured":"Idem. Personal communication, 1957."},{"key":"S0368315X00049598_ref17","doi-asserted-by":"crossref","unstructured":"Idem , \u201cSleep Paralysis successfully treated with Insulin Hypoglycaemia\u201d, A.M.A. Arch. Neurol. Psychiat., 1952, 88, 835\u2013841.","DOI":"10.1001\/archneurpsyc.1952.02320240110012"},{"key":"S0368315X00049598_ref19","first-page":"523","article-title":"\u201cNormal EEG at Deep Levels of Hypoglycaemia\u201d","volume":"9","author":"Ziegler","year":"1957","journal-title":"ibid."},{"key":"S0368315X00049598_ref13","unstructured":"Idem , \u201cPsychosomatic Aspects of Narcolepsy\u201d, J. Ment. Sci. 1958, 104, 593\u2013607."},{"key":"S0368315X00049598_ref1","doi-asserted-by":"publisher","DOI":"10.1097\/00006842-194811000-00002"},{"key":"S0368315X00049598_ref8","doi-asserted-by":"publisher","DOI":"10.1097\/00005053-195405000-00005"}],"container-title":["Journal of Mental Science"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0368315X00049598","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,6,5]],"date-time":"2019-06-05T16:20:50Z","timestamp":1559751650000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0368315X00049598\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1959,1]]},"references-count":19,"journal-issue":{"issue":"438","published-print":{"date-parts":[[1959,1]]}},"alternative-id":["S0368315X00049598"],"URL":"https:\/\/doi.org\/10.1192\/bjp.105.438.163","relation":{},"ISSN":["0368-315X","2514-9946"],"issn-type":[{"value":"0368-315X","type":"print"},{"value":"2514-9946","type":"electronic"}],"subject":[],"published":{"date-parts":[[1959,1]]}}}