PAROXYSMAL SLEEP

PAROXYSMAL SLEEP

Paroxysmal sleep also known as narcolepsy is the tiredness or sleepiness felt regardless of any time of the day. Some daily routines may be interrupted because of this disorder.

Paroxysmal sleep may cause an unexpected loss of muscle tone or cataplexy that exist through strong emotions. It is incurable. You can manage its symptoms with medications and by changing your daily habits. You can also manage it through moral support given by the people that surround you.

Paroxysmal attacks are usually triggered by loud noises and have been described as a specific entity, together with functional paroxysmal movement disorders. Differential diagnosis includes paroxysmal dystonia, a clinically heterogeneous group of disorders that are characterized by episodically-occurring involuntary movements of brief duration. It is been 0.76% of all movement disorders as recorded and can either be taken or be inborn. Most cases are acquired.

TYPES

Type 1 narcolepsy occurs with cataplexy and type 2 occurs without cataplexy.

SYMPTOMS

The signs and symptoms of narcolepsy may worsen for the first few years and then continue for life. These include:

  • Excessive daytime sleepiness
  • Sudden loss of muscle tone
  • Cataplexy
  • Sleep paralysis
  • Rapid eye movement (REM )
  • Changes in rapid eye movement (REM) sleep
  • Hallucinations

Other sleep disorders may happen in people with narcolepsy, such as obstructive sleep apnea, where a cessation of breathing happens in the night. Insomnia and restless legs syndrome may also occur.

Your doctor may make a preliminary diagnosis of narcolepsy based on your symptoms such as excessive daytime sleepiness and sudden loss of muscle tone (cataplexy). After an initial diagnosis, your doctor may refer you to a sleep specialist for further evaluation.

Sleep specialists may perform testing by making you stay overnight at the sleep center. Tests will include the following:

  • Sleep history
  • Sleep records
  • Polysomnography
  • Multiple sleep latency test

 

TREATMENT

In managing the symptoms of narcolepsy, lifestyle habits may be changed and medications may be given.

Medications for narcolepsy include:

  • Stimulants
  • Selective serotonin reuptake inhibitors
  • Tricyclic antidepressants.
  • Sodium oxybate

Some of the studied treatments are drugs acting on the histamine chemical system, hypocretin replacement, hypocretin gene therapy, and immunotherapy.

Related Articles

TETRALOGY OF FALLOT

Overview and FactsTypes and SymptomsDiagnosis & MedicationsOverview and Facts Tetralogy of Fallot is a congenital heart defect that affects the [...]

TRICHINOSIS

Overview and FactsTypes and SymptomsDiagnosis & MedicationsOverview and Facts Trichinosis, also known as trichinellosis, is a parasitic infection caused by [...]

TRIGEMINAL NEURALGIA

Overview and FactsTypes and SymptomsDiagnosis & MedicationsOverview and Facts Trigeminal neuralgia is a neurological condition characterized by severe facial pain. [...]