A case of fatal familial insomnia: diagnostic and therapeutic approaches.

Journal Article (Journal Article)

Fatal Familial Insomnia (FFI) is an uncommon but fatal genetic condition that is characterized by severe progressive insomnia, dysautonomia, neuropsychiatric changes, and gait instability. Diagnostic workup includes genetic testing, EEG, MRI imaging of the brain, polysomnography, and CSF analysis. MRI brain imaging may be notable for areas of restricted diffusion in the thalamus. Therapeutic approaches are centered on symptom management, predominantly for insomnia. It is important for clinicians to consider FFI in patients presenting with progressive insomnia, cognitive deficits, and gait instability, and to direct patients and families toward genetic counseling and palliative care services.

Full Text

Duke Authors

Cited Authors

  • Rose, DK; Liu, AJ

Published Date

  • February 2022

Published In

Volume / Issue

  • 28 / 1

Start / End Page

  • 131 - 134

PubMed ID

  • 35037601

Electronic International Standard Serial Number (EISSN)

  • 1465-3656

Digital Object Identifier (DOI)

  • 10.1080/13554794.2021.2025249


  • eng

Conference Location

  • England