raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2073

Narcolepsy type 1

Synonyms: Gélineau disease · Hypocretin/orexin deficiency syndrome · Narcolepsy-cataplexy

Type
Disease
Group
Disorder
Inheritance
Unknown
Age of onset
Adolescent, Adult, Childhood
Status
active

A rare neurologic disease characterized by excessive daytime sleepiness associated with uncontrollable sleep urges and cataplexy (sudden loss of muscle tone while awake, often triggered by pleasant emotions).

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enNarcolepsy type 1Gélineau disease · Hypocretin/orexin deficiency syndrome · Narcolepsy-cataplexy
frNarcolepsie de type 1Maladie de Gélineau · Narcolepsie-cataplexie · Syndrome de déficit en hypocrétine/orexine
deNarkolepsie Typ 1Gélineau-Krankheit · Hypocretin/Orexin-Mangel · Narkolepsie mit Kataplexie
esNarcolepsia tipo 1Enfermedad de Gélineau · Narcolepsia-cataplejía · Narcolepsia-cataplexia · Síndrome de deficiencia de hipocretina/orexina
itNarcolessia tipo 1Malattia di Gélineau · Sindrome da deficit di ipocretina/oressina · Narcolessia - cataplessia
nlNarcolepsie type 1Hypocretine/orexine-deficiëntiesyndroom · Narcolepsie - kataplexie · Ziekte van Gélineau
ptNarcolepsia tipo 1Doença de Gélineau · Narcolepsia-cataplexia
plNarkolepsja-katalepsjaChoroba Gélineau · Narkolepsja typu 1
csNarkolepsie s kataplexiíGélineauova nemoc
ukНарколепсія, тип 1Хвороба Жиляно · Нарколепсія-катаплексія
zh发作性睡病1型发作性睡病-猝倒
trNarkolepsi tip 1Gélineau hastalığı · Narkolepsi-katapleksi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM161400BTNTvalidated
OMIM605841BTNTvalidated
OMIM609039BTNTvalidated
OMIM612417BTNTvalidated
OMIM612851BTNTvalidated
OMIM614223BTNTvalidated
OMIM614250BTNTvalidated
ICD-10G47.4Especificvalidated
ICD-117A20.0Especificvalidated
MONDO0016158Evalidated
UMLSC4543926Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

8 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
CTSHMajor susceptibility factor inAssessedHGNC:2535ENSG0000010381111682015q25.1cathepsin H23459209[PMID]
HCRTMajor susceptibility factor inAssessedHGNC:4847ENSG0000016161060235817q21.2hypocretin neuropeptide precursor10973318[PMID]_23643651[PMID]
HLA-DQB1Major susceptibility factor inAssessedHGNC:4944ENSG000001793446043056p21.32major histocompatibility complex, class II, DQ beta 118706091[PMID]
HLA-DRB1Major susceptibility factor inAssessedHGNC:4948ENSG000001961261428576p21.32major histocompatibility complex, class II, DR beta 118706091[PMID]_19410508[PMID]
MOGMajor susceptibility factor inAssessedHGNC:7197ENSG000002046551594656p22.1myelin oligodendrocyte glycoprotein21907016[PMID]
P2RY11Major susceptibility factor inAssessedHGNC:8540ENSG0000024416560269719p13.2purinergic receptor P2Y1124204295[PMID]
TNFSF4Major susceptibility factor inAssessedHGNC:11934ENSG000001175866035941q25.1TNF superfamily member 423459209[PMID]
ZNF365Major susceptibility factor inAssessedHGNC:18194ENSG0000013831160781810q21.2zinc finger protein 36524204295[PMID]
5

Prevalence and incidence

7 records
TypeClassValueAreaQualificationValidationSource
Point prevalence1-5 / 10 00030 / 100 000EuropeValue and classValidated24849861[PMID]_[EXPERT]
Annual incidence1-9 / 1 000 0000.74 / 100 000United StatesValue and classValidated11902429[PMID]
Point prevalence1-5 / 10 00022 / 100 000NorwayValue and classValidated19456307[PMID]_24849861[PMID]
Point prevalence1-5 / 10 00026 / 100 000FinlandValue and classValidated8210228[PMID]_24849861[PMID]
Point prevalence1-5 / 10 00034 / 100 000ChinaValue and classValidated11164060[PMID]_24849861[PMID]
Point prevalence1-5 / 10 00028.9 / 100 000United StatesValue and classNot yet validated11902429[PMID]_19013100[PMID]_24849861[PMID]_ORPHANET
Point prevalence1-5 / 10 00040 / 100 000United KingdomValue and classValidated8894197[PMID]_24849861[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

30 annotations · validated 2023-09-07
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002524CataplexyPathognomonic sign
HP:0001262Excessive daytime somnolence
HP:0000738Hallucinations
HP:0002360Sleep abnormality
HP:0010534Transient global amnesia
Frequent (79-30%)
HP:0007686Abnormal pupillary function
HP:0002494Abnormal rapid eye movement sleep
HP:0000739Anxiety
HP:0007018Attention deficit hyperactivity disorder
HP:0002019Constipation
HP:0002307Drooling
HP:0030014Female sexual dysfunction
HP:0000975Hyperhidrosis
HP:0000822Hypertension
HP:0002519Hypnagogic hallucinations
HP:0006896Hypnopompic hallucinations
HP:0040307Male sexual dysfunction
HP:0000017Nocturia
HP:0025235Non-rapid eye movement parasomnia
HP:0012452Restless legs
Occasional (29-5%)
HP:0000716Depression
HP:0002076Migraine
HP:0001513Obesity
HP:0000826Precocious puberty
HP:0000711Restlessness
HP:0010535Sleep apnea
HP:0025233Sleep paralysis
HP:0001350Slurred speech
HP:0001279Syncope
Very rare (<4-1%)
HP:0000709Psychosis

Run the differential on the 5 obligate / very frequent terms

Annotation source: 36949858[PMID]_35624073[PMID]_29083681[PMID]

7

Sources for this card