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Narcolepsy - the Basics

What You Need To Know

From About.com

Created: November 22, 2003

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Narcolepsy is a disorder characterized by excessive daytime sleepiness and periods of muscle weakness called cataplexy.

NARCOLEPSY SYMPTOMS

  • Excessive daytime sleepiness. In fact, the narcoleptic may find it impossible to stay awake and suffer from: Sleep attacks. Short, uncontrollable episodes of sleep during the day.
  • Abnormal REM sleep. Rapid eye movement (REM) is often disrupted, causing:Hypnagogic hallucinations. Dream like sequences experienced while awake, often involving visual or auditory hallucinations.
  • Cataplexy. Spells of extreme muscle weakness experienced usually during strong emotion - laughter, anger, grief.
  • Sleep paralysis. Inability to move when falling asleep or awakening.
  • Disturbed nighttime sleep. Tossing and turning. Nightmares. Restless sleep.

CAUSES

  • Genetic abnormalities. Recent research suggests a faulty gene may be the cause.
  • Family history. Narcolepsy is often inherited from parents.
  • Brain Chemical Abnormalities. Again, these abnormalities tend to be inherited traits.

EFFECTS

  • Lack of muscle control
  • Serious problems in professional life
  • Serious problems in personal life
  • Low sex drive or impotence
  • Emotional difficulties. Strong emotions cause attacks of cataplexy.
  • Accidents and injury from falling asleep while driving or doing other dangerous tasks.

METHODS OF DIAGNOSIS

Sleep Studies including

  • Polysomnography - This test records electrical activity of the brain, eye movement, muscle activity, heart rate, airflow, and blood oxygen levels.
  • The Multiple Sleep Latency Test (MSLT) - This test measure the speed it takes for a person to fall asleep.

TREATMENT

  • Schedule. Keeping to a regular schedule as much as possible.
  • Naps. Short daytime naps are sometimes refreshing.
  • Drug therapy. Stimulants such as Ritalin®, modafinil, dextroamphetamine, and pemoline.
  • Drug Therapy. Treatment of cataplexy, paralysis and hallucinations with antidepressants and selective serotonin reuptake inhibitors (SSRIs).

For More on Narcolepsy, check out my Narcolepsy Articles and Links.

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