NARCOLEPSY

Description

Long term brain disorder causes a person to suddenly fall asleep at inappropriate times.

Symptoms

  1. Dreaming, Decreased consciousness, and Muscle paralysis.
  2. Cataplexy, can be triggered by intense emotions
  3. Rapid eye movement (REM) sleep
  4. Sleep paralysis
  5. Sleep attacks
  6. Hallucinations.

Causes

  1. Decreased amount of a brain protein called hypocretin
  2. Infection like swine flu or medication against it
  3. Major psychological stress
  4. Hormonal changes, which can occur during puberty or menopause

Risk Factors

  • Obesity
  • Physical Harm
  • Public misunderstanding of the condition
  • Interference with intimate relationships

Diagnostic Tests

  • Polysomnography
  • Multiple sleep latency test.
  • Epworth sleepiness scale
  • A spinal tap, or lumbar puncture, is used to collect cerebrospinal fluid (CSF)
  • ActiGraph monitoring

Treatments

  • Stimulants
  • Selective serotonin reuptake inhibitors (SSRIs)
  • serotonin and norepinephrine reuptake inhibitors (SNRIs)
  • Tricyclic antidepressants.
  • Sodium oxybate (Xyrem)
  • Antidepressants

Medications

  • Provigil
  • fluoxetine (Prozac, Sarafem, Selfemra)
  • venlafaxine (Effexor XR).
  • protriptyline (Vivactil), imipramine (Tofranil) and clomipramine (Anafranil)

Lifestyle Management

  • Schedule short naps at regular intervals
  • Get regular exercise
  • Avoid nicotine and alcohol.
  • Eat light or vegetarian meals

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