MRCEM Notes

Narcolepsy

Overview
  • associated with HLA-DR2
  • it is associated with low levels of orexin (hypocretin), a protein which is responsible for controlling appetite and sleep patterns
  • early onset of REM sleep

Features
  • typical onset in teenage years
  • hypersomnolence
  • cataplexy (sudden loss of muscle tone often triggered by emotion)
  • sleep paralysis
  • vivid hallucinations on going to sleep or waking up

Investigation
  • multiple sleep latency EEG
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