Narcolepsy

Question 1

what is narcolepsy

Answer 1

a rare condition in which the brain loses its normal ability to regulate the sleep-wake cycle.

two widely recognised subtypes: type 1 and type 2

Question 2

symptoms of narcloepsy

Answer 2

CHESS
cataplexy
hallucinations
excessove daytime sleepy
sleep paralysis
sleep disturbances

Question 3

what is cataplexy

Answer 3

a sudden, temporary loss of muscle control that is triggered by strong emotions like laughter, surprise, or anger

Question 4

what are narcloepsy hallucinations like

Answer 4

Hypnagogic/hypnopompic hallucinations: dream-like hallucinations at the point of emerging from/entering REM sleep.

Question 5

2 investigations for narcolepsy

Answer 5

Polysomnography (PSG)
Multiple sleep latency testing (MSLT)

Question 6

what is sleep latency

Answer 6

the time it takes to fall asleep - Usually, REM sleep first occurs over an hour after falling asleep, but if REM sleep occurs within 15 minutes of sleep onset, it is known as SOREM (sleep-onset REM).

Question 7

management of narcoloepsy

Answer 7

• sleep hygeine
• scheduled naps
• modfainil (CNS stimulant)
• venlafaxine (SSRI)
• Sodium oxybate (sedative)