Kleine-Levin syndrome (KLS): clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Kleine-Levin syndrome (KLS): clinical features. This is a syndrome of episodic hypersomnia and compulsive eating. Fully referenced neurology checklist.

Demographic features

  • This is a syndrome of episodic hypersomnia and compulsive eating
  • It usually affects adolescent men: they account for 70% of cases
  • The peak onset age is 14 years: the range is 11-21 years

Genetics

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Precipitating causes

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Core features

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Features of hypersomnia

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Eating disorders

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Behavioural features

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Compulsions

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Neuropsychiatric features

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Cognitive features

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Other features

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Differential diagnosis

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Synonym

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References

  1. Arnulf I, Zeitzer JM, File J, Farber N, Mignot E. Kleine-Levin syndrome: a systematic review of 186 cases in the literature. Brain 2005; 128:2763-2776.
  2. Dauvilliers Y, Mayer G, Lecendreux M, et al. Kleine-Levin syndrome: an autoimmune hypothesis based on clinical and genetic analysis. Neurology 2002; 59:1739-1745.
  3. Al Shareef SM, Basit S, Li S, Pfister C, et al. Kleine-Levin syndrome is associated with LMOD3 variants. J Sleep Res 2018; e12718 (Epub ahead of print).
  4. Ambati A, Hillary R, Leu-Semenescu S, et al. Kleine-Levin syndrome is associated with birth difficulties and genetic variants in the TRANK1 gene loci. Proc Natl Acad Sci U S A 2021; 118:e2005753118.
  5. Groos E, Chaumereuil C, Flamand M, et al. Emerging psychiatric disorders in Kleine-Levin syndrome. J Sleep Res 2018:e12690.
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