Narcolepsy

Narcolepsy Colorado Springs Narcolepsy Colorado Springs

Narcolepsy is a disorder of unknown etiology characterized by excessive daytime sleepiness often associated with cataplexy in 60% of patients (sudden muscle weakness/paralysis provoked by strong emotion). Narcolepsy is a frequently overlooked disorder with patients suffering for an average of 15 years before the diagnosis is made.

Frequent Signs and Symptoms

  • Excessive daytime sleepiness
  • Uncontrolled sleep attacks up to ten times per day
  • Hallucinations when first going to sleep (hynagogic)
  • Hallucinations when waking up (hynopompic)
  • Disturbed nighttime sleep

Epworth Sleepiness Scale score of 15 or greater

Diagnosis and Treatment

Diagnosis is made with an overnight sleep study (nighttime polysomnography PSG) followed the next day by a eight hour wakefullness test called a multiple sleep latentcy test (MSLT). Sleep onset REM periods are diagnostic of narcolepsy.

Treatment consists of alerting agents like Provigil or Nuvigil.

Xyrem is used only at night to restore normal sleep and daytime wakefulness.

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Narcolepsy in Colorado Springs

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