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Sleeping beauty syndrome presenting with insomnia
  1. Sara Hussain1,
  2. Khulood Al Jarman2,
  3. Sahar Hussain3
  1. 1Emergency Department, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates
  2. 2Neurology Department, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates
  3. 3Dubai Pharmacy College, Dubai, United Arab Emirates
  1. Correspondence to Dr Sara Hussain, dr.sarahussain{at}


A young man previously diagnosed with Kleine-Levin syndrome (KLS) presented with abnormal behaviour over the last 8 days. This included decreased sleeping hours and appetite, hypersexuality, aggressiveness and visual hallucinations. All blood tests and investigations in the emergency department yielded normal results. A preliminary diagnosis of a KLS episode with psychosis was made and the patient was started on a regimen of aripiprazole 10 mg once daily along with lorazepam 2 mg intravenously in two divided doses in the event of agitation or insomnia. On discharge 5 days later, the patient had returned to his premorbid level of functioning and was willing to follow up in the neurology clinic. He was discharged on aripiprazole 10 mg once daily and lorazepam 2 mg two times daily as needed for 2 weeks to help with his agitation and insomnia, as well as lithium carbonate 400 mg at night.

  • sleep disorders (neurology)
  • neurology

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  • Contributors SarH has drafted the content, with an extensive literature review and took the lead in writing the manuscript. SahH has assisted in the production and critical revision of the report. KAJ oversaw the creation of the report, provided critical feedback and was also involved in the direct care of the patient.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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