Kleine-Levin syndrome: the contribution of PET scan and hydrogen breath test for small intestinal bacterial overgrowth

A 13 year-old boy started to present recurrent episodes, lasting from 3 to 12 days, characterized by prolonged sleep time, megaphagia, derealization, mood depression, rudeness and hypersexual behaviour. Episodes occurred after infective diseases, moderate alcohol assumption or sleep deprivation, and were often heralded by terrifying visual hallucinations. Physical examination, blood tests, lumbar puncture, EEG, brain CT scan and MRI were normal. The patient arrived at our lab at the age of 15, during a relapse.

from #ORL-AlexandrosSfakianakis via ola Kala on Inoreader https://ift.tt/2HcSP2N