About Narcolepsy

Understanding Narcolepsy

Narcolepsy is a neurological sleep disorder characterized by severe and persistent daytime sleepiness that can impact people at school, at work, and in social settings.

Individuals with narcolepsy have an overwhelming need to fall asleep many times throughout the day. These periods of sleep during the day can last from a few seconds to several minutes and in some cases, for an hour or longer.

Narcolepsy affects the brain’s ability to regulate sleep wake cycles. People suffering from narcolepsy experience daytime and nighttime differently than people without narcolepsy. Their regulation of sleep is disrupted meaning that the boundaries between wakefulness and sleep are less distinct, and elements of sleep and wakefulness can mix.

Symptoms typically develop over several months and last a lifetime. While it is manageable, people living with narcolepsy can find it difficult to perform everyday tasks and it can have an impact on their mental health.

Although rare compared to many other sleep disorders, narcolepsy is estimated to affect 1 in 2000 people in the USA. The onset of symptoms is usually first detected between the ages of 10 to 20, but narcolepsy is often only diagnosed later in life. It is commonly confused with other health issues or normal development. Unfortunately, most individuals with narcolepsy remain undiagnosed.

Recognizing the Symptoms of Narcolepsy

The symptoms and the severity of narcolepsy differ among individuals. Excessive daytime sleepiness is experienced by all patients. Narcolepsy symptoms can include:

Types of Narcolepsy

It is recognized that there are two major types of narcolepsy: Type 1 and Type 2.

Type 1 with cataplexy

Type 1 narcolepsy is the more common of the two types of narcolepsy. People with Type 1 narcolepsy display episodes of cataplexy in addition to excessive daytime sleepiness and other symptoms. Cataplexy is a weakening and sudden loss of muscle tone.

  • It can affect the muscle of the face, neck, and limbs, which can interfere with speech or trigger falling.
  • A severe cataplexy attack can trigger a full body collapse.
  • Unlike fainting or epileptic seizures, the individual is fully awake & conscious.
  • It is most often caused by the occurrence of a strong emotion such as laughter, excitement, joy, surprise or anger.
  • Cataplexy episodes build over several seconds and can last several minutes.

Type 2 without cataplexy

In patients diagnosed with Type 2 narcolepsy, cataplexy was not evident.

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