In children who complain of daytime sleepiness, after ruling out other causes of daytime sleepiness, narcolepsy is the diagnosis until proven otherwise. I hope this video has been informative in helping you understand what narcolepsy is all about. Hyperkalemic periodic paralysis (HYPP) is an inherited muscle disease which is the result of a genetic defect in Quarter Horses, Paints, Appaloosas and Quarter Horse-crossbreds.
Narcolepsy is manifest by a symptom complex consisting of excessive daytime sleepiness, cataplexy, sleep hallucinations and sleep paralysis. In years past, stimulants were the only medications that were available to treat narcolepsy and they only treated the symptom of excessive daytime sleepiness. If you have symptoms that are suggestive of narcolepsy, please visit your primary care physician or see a board certified sleep specialist at an accredited sleep center.

Popper is available at (805) 557-9930 to answer any questions you have regarding diagnosis and treatment of all sleep disorders, including narcolepsy, OSA, restless limb syndrome, insomnia, and others. Characterization of hyperkalemic periodic paralysis: a survey of genetically diagnosed individuals.
All of these symptoms do not need to be present to make a diagnosis of narcolepsy, but when excessive daytime sleepiness and cataplexy are present the diagnosis can be made clinically.
Daytime sleepiness can be found in many disorders such as sleep apnea, periodic limb movements during sleep, shift work, it could be the result of medication or other medical disorders so daytime sleepiness by itself is not a sufficient symptom to make a diagnosis of narcolepsy. More commonly are sleep paralysis episodes where, again, as the name implies, patients are paralyzed. HYPP resembles hyperkalemic periodic paralysis is characterized by sporadic episodes of muscle tremors, extreme muscle weakness or paralysis.

Abnormal loud breathing noises are sometimes made by horses undergoing an HYPP episode, caused by paralysis of the upper airway muscles. Patients who first present with symptoms of narcolepsy after the age of 40 must rule out other sleep disorders first before considering a diagnosis of narcolepsy.
Rutgers (2013) Successful treatment of hyperkalaemic periodic paralysis in a horse during isoflurane anaesthesia.

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