A Chinese man with Kleine-Levin syndrome showed evidence of hypothalamic disturbance and damage to the limbic system. He has been free from symptoms of hypersomnia and hyperphagia for 15 years, but now suffers from ejaculatory impotence which is discussed in the light of aetiological theories of this puzzling disorder.
References
1.
KleineW.Periodische Schlafsucht. Monatsschr Psychiatry and Neurology1925;57:285–320.
2.
LevinM.Narcolepsy (Gelineau's syndrome) and other varieties of morbid somnolence. Archives of Neurology and Psychiatry1929; 22:1172–1200.
3.
ChritchleyM, HoffmanHL. The syndrome of periodic somnolence and morbid hunger (Kleine-Levin syndrome). British Medical Journal1942; 1:137–139.
4.
LevinM.Periodic somnolence and morbid hunger. A new syndrome. Brain1936;59:494–504.
5.
GallinekA.Syndrome of episodes of hypersomnia, bulimia and abnormal mental states. Journal of the American Medical Association1954; 154:1081–1083.
6.
TakramL, CroninD.Kleine-Levin syndrome in a female patient. Canadian Psychiatric Association Journal1976; 21:315–318.
7.
EarleBV. Periodic hypersomnia and megaphagia (the Kleine-Levin syndrome). Psychiatry Quarterly1965; 39:79–83.
8.
ReynoldsC, BlackR, CableP, HolzerB, KupferD.Similarities in the EEG sleep findings for Kleine-Levin syndrome and unipolar depression. American Journal of Psychiatry1980; 137(1): 116–118.
9.
OrloskyMJ. The Kleine-Levin Syndrome: A review. Psychosomatics1982; 23(6):609–621.
10.
YoungJK. A possible neuroendocrine basis of two clinical syndromes: Anorexia nervosa and the Kleine-Levin syndrome. Physiological Psychology1975; 3:322–330.
11.
WilderJ.A case of atypical Kleine-Levin syndrome. Journal of Nervous and Mental Diseases1972; 154:69–72.
12.
GeorgeHR. A case of Kleine-Levin syndrome of long duration. British Journal of Psychiatry1970; 117:521–523..
13.
KaplanHS. The New Sex Therapy. Brunner/Mazel, New York, 1974
14.
FairburnC.The sexual problems of diabetic men. British Journal of Hospital Medicine1981; 25:484–491.
