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Narcolepsy is a chronic neurologic disorder the affects the rest - wake cycle and leads to excessive somnolence despite adequate sleep . It is a rarefied condition and approximately regard 1 in 2000 - 3000 people but most affected role are only diagnosed 7 - 10 years after the initial symptoms . The onset of narcolepsy is see usually in early childhood or late adolescence.(2 )
How Do You Know If You Have Narcolepsy?
How will you know if you have narcolepsy ? in the main by symptom , then you may confabulate a MD who will canvas you and do certain investigations to diagnose the circumstance . The symptom of narcolepsy are womb-to-tomb , they can meliorate with time and does not usually , get bad . Only 10 - 25 % of affected role will have all the symptom mentioned below .
Excessive Daytime Sleepiness(EDS ) . Almost all patient with narcolepsy have EDS ; this is the principal symptoms of narcolepsy . Even after a effective night sleep still , if you still palpate sleepyheaded during the day . It ’s more like a eternal sleep attack where an irresistible gumption of sleepiness come . In - between the sleep attacks you will be rattling and continue work normally.(1 )
Cataplexy . Acute onset loss of muscle tone which leads to muscular tissue helplessness and red ink of musculus movement is forebode cataplexy . Usually , this loss of tone is spark by your emotion such as anger , fright , laugh , excitement or stress . Cataplexy can come along weeks or even after years of EDS . Some people only know one or two attacks during their lifetime while others experience cataplexy more often . In 10 % of narcolepsy patients , cataplexy is the first symptoms and can be diagnosed as a raptus disorder erroneously . Most of the cataplexy attacks imply only a few muscles and will only experience a modest helplessness such as loll of eyelids . The most severe flack is the collapse of the whole body where the mortal is unable to verbalize , move or even keep the optic assailable , however , the consciousness persist intact which enables the physician to discover cataplexy from a seizure . Most instalment adjudicate in a few minutes , even though the sequence sounds shivery it ’s not unsafe if the person give in a dependable stead . Cataplexy resembles the muscle paralysis that occurs during the rapid eye movement sleep phase of the sleep cycle . Cataplexy is characteristic of narcolepsy .
Sleep Paralysis . Sleep paralysis is the unfitness to address or move temporarily while going to catch some Z’s or wake up . This only lasts for a few mo and it resembles cataplexy except this occurs at the time of falling asleep or fire up up . There is no permanent dysfunction with sleep paralysis .
delusion . delusion are vivid sometimes scary images that are seen by the person usually at the time of nap paralysis when run to sleep or waking up . Most hallucinations are visual but auditory , tactile and other centripetal hallucination can occur.(1 )
Other symptoms are :
Fragmented Sleep AndInsomnia . Some of you might find it difficult to fall at peace or observe sleep at night . The sleep is disturb by insomnia , vivid dream , periodic leg apparent motion , sleep apnea , and acting out aspiration .
Automatic Behaviors . Narcolepsy multitude will receive irregular eternal sleep episodes , each episode lasts for a few moment . These sleep episodes usually happen while you are engaged in unremarkable activity such as lecture , eating driving or typewriting . You will fall asleep while doing the activity and continue the activity for some time unconsciously then wake up flavour refresh without being sleepy or drowsy.(1 )
Diagnosis . A physical examination turf out other causes and you will be advised to defend a sleep journal which will give more specific detail . Investigations such as polysomnogram ( quietus subject ) and multiple sleep latency run are specialised trial to diagnose narcolepsy .
Summary
If you have symptoms like inordinate Clarence Day prison term sleepiness , cataplexy , sleep palsy , delusion , fragmented sleep , insomnia , and robotic conduct it can be due to narcolepsy . Then you want to confer with a Dr. so , that a physical examination can be carry out and investigations such as polysomnogram and multiple response time trial can be done to diagnose narcolepsy .
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