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. 2016 May 4;6:25230. doi: 10.1038/srep25230

Table 2. Characteristics of psychosis and measurements of IgG antibodies to the N-methyl-D-aspartate receptor (NMDAR) in 10 patients with narcolepsy type 1 comorbid with psychosis.

  Case 1 S-925 Spain Case 2 NUR-055 Spain Case 3 S-462 Spain Case 4 S-412 Spain Case 5 WG France Case 6 CT France Case 7 LG France Case 8 MR France Case 9 JM France Case 10 NY France
Auditory hallucinations Yes Yes No Yes Yes Yes Yes Yes Yes Yes
Psychiatric hospitalization required Yes, 24 days Yes, 1 month No No No Yes, 2 weeks Yes, several months Yes, 3 weeks No Yes, several months
Age at onset of first psychosis episode 15 (a few months before narcolepsy) 27 (19 years after narcolepsy) 17 (at sleepiness onset) 7 (at sleepiness onset) 39 (24 years after narcolepsy) 47 (21 years after narcolepsy) 45 (12 years after narcolepsy) 23 (13 years after narcolepsy) 30 (1 year after sleepiness onset but few weeks after modafinil) 22 (10 years after narcolepsy)
Triggering factors No No No But worsening after modafinil No But worsening after sodium oxybate Heroin and cocaine abuse Sodium Oxybate Mazindol Cannabis Modafinil and then methylphenidate No
Medications for psychiatric symptoms Clozapine 150 mg/d Aripiprazole 30 mg/d Risperidone 3 mg/d Ziprasidone 80 mg/d Olanzapine 15 mg/d Fluoxetine 20 mg for compulsive eating Methadone 130 mg/d Alimemazine 15 mg/d Olanzapine 15 mg/d Aripiprazole 15 mg/d No drugs Aripiprazole 20 mg/d
IgG antibodies to NMDA receptor Negative (CSF) Negative (serum) Negative (CSF) Negative (serum) Negative (serum) Negative (serum) Negative (serum) Negative (serum) Negative (serum) na