Narcolepsy

Exam Cram

• Sudden attacks of daytime sleepiness

• Presentation: sudden loss of consciousness

• Management: modafinil

Outline

Background 

Unclear cause

• triggered by head injury

• Association reported post swine flu

Diagnosis

Diagnosis: clinical

History:

• Daytime sleepiness

• Hypagnogic hallucinations- hallucinations whilst getting to sleep

• Can have episodes of cataplexy

Differentials

• Cataplexy: collapse following sudden emotion

Management

1. Modafinil

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