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Kleine-Levin Syndrome Associated With Fire Setting
Pauline S. Powers, MD;
Richard Gunderman, MD
Am J Dis Child. 1978;132(8):786-789.
Abstract
• Kleine-Levin syndrome is characterized by periodic hypersomnia associated with megaphagia and striking behavioral and psychiatric symptoms; it occurs primarily in adolescent boys. We treated a 17-year-old boy who had typical recurring somnolent episodes. His bizarre behavior included fire setting and stealing, both of which may have represented compulsions. His EEG during a sleepy episode was diffusely abnormal with generalized slowing of background activity; as he awoke and improved clinically, his EEG returned to normal. Between episodes, his EEG was normal. The relationship between Kleine-Levin syndrome and other sleep disorders is discussed. The neurochemistry and neurocircuitry that may provide the requisite substrate for this complex and fascinating neuropsychiatric disorder are briefly reviewed.
(Am J Dis Child 132:786-789, 1978)
Author Affiliations
From the Department of Psychiatry, University of South Florida, Tampa (Dr Powers). Dr Gunderman is in private practice in Tampa.
Footnotes
Reprint requests to Department of Psychiatry, Box 14, University of South Florida College of Medicine, 12901 N 30th St, Tampa, FL 33612 (Dr Powers).
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