Narcolepsy Flashcards

1
Q

Cardinal features?

A
  • Cataplexy
  • Hypagognic Hallucinations
  • Daytime sleepiness
  • Sleep paralysis
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2
Q

What is cataplexy?

A

Muscle weakness brought on by strong emotion.

-Laughing/ anger

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3
Q

What is hypagognic hallucinations?

A

Vivid hallucinations on falling asleep.

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4
Q

How common is it?

A

prevalence = 0.05%
Familial aspect
Linked to HLA DRB1 loci

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5
Q

Treatment for Narcolepsy?

A
  • Modafinil
  • Clomipramide
  • Sodium Oxybate
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6
Q

Give examples of Neuromuscular Disorders

A
ALS
Duchennes Muscular Dystrophy
Cerebral Palsy
Down's Syndrome
Prader-Willi Syndrome
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7
Q

What is Down’s Syndrome associated with?

A

OSAS

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8
Q

Cerebral Palsy and sleep?

A

Delayed onset of sleep

Fragmented Sleep

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9
Q

Duchenne’s Muscular Dystrophy?

A
  • Possibility of death due to respiratory failure
  • nocturnal desaturation
  • improved quality of life with BiPAP
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10
Q

Investigations for NMD

A
  • Lung Function tests
  • Early morning ABG
  • Nocturnal Pulse Oximetry
  • CO2 Monitoring
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11
Q

Treatment for NMD

A
  • Non Invasive Ventilation
  • Oxygen therapy
  • t-IPPV
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12
Q

What is tIPPV?

A

Tracheostomized Intermittent Positive Pressure Ventilation

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