Sexual hypnagogic hallucinations and narcolepsy with cataplexy: a case report Alucinações hipnagógicas sexuais e narcolepsia com cataplexia: relato de caso

Study carried out at Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil. Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil. Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada. Instituto Israelita de Ensino e Pesquisa do Hospital Israelita Albert Einstein, São Paulo (SP), Brazil. Financial support: AFIP & FAPESP � CEPID 98/14303-3. Conflict of interests: nothing to declare. Corresponding author: Fernando Morgadinho Santos Coelho � M1600, Sleep Laboratory � Neurology � Sunnybrook Healthy Sciences Centre � 2075, Bayview Avenue, Toronto, Ontario, Canada, M4N3M5 � E-mail: [email protected] or [email protected] Received: June 6, 2011; Accepted: August 4, 2011 AbStrACt Sexual behavior can be associated with several stages of sleep, including both non-rapid eye movement and rapid eye movement stages of sleep. In narcoleptic patients, orgasmic cataplexy, or orgasmolepsy, and sexual hypnagogic hallucinations can be present. Although the association between narcolepsy and sexual behaviors has already been described, few reports describe the embarrassing circumstances for narcoleptic patients after vivid experiences during complex sexual hypnagogic hallucinations. This report describes an interesting case of a narcoleptic patient with sexual hypnagogic hallucinations associated with out-of-body experiences.