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  #1  
Old 01-13-2013
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Psyche Sleep disorder

A 22 years old female present to physician after collapsing in cafeteria following loud joking and laughter with her friends. She describes loss of muscle tone after she fell but does not loss consciousness. On further questioning, she reveals a 4 month history of day time sleepiness with several episodes of falling a sleep during her classes. She believed that the episodes were related to poor sleep because of vivid dreams she had on falling a sleep. Which of following is most likely diagnosis ?

Cataplexy
Narcolepsy
Periodic paralysis
Hypersomnia


Please explain
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Old 01-13-2013
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she has Cataplexy, increased daytime sleepiness and hypnagogic hallucinations...together constitute Narcolepsy.....
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Matched!!!
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Old 01-13-2013
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The correct ans..Narcolepsy

Narcolepsy
= Cataplexy + several episodes of falling a sleep during the day + Sleep paralysis + hypnagogic hallucination + hypnopompic hallucination
Cataplexy is a sudden loss of muscle tone and fall following strong emotions, such as laughter or anger.
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  #4  
Old 01-13-2013
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Yes correct answer is Narcolepsy.
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Old 01-13-2013
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Quote:
Originally Posted by aknz View Post
A 22 years old female present to physician after collapsing in cafeteria following loud joking and laughter with her friends. She describes loss of muscle tone after she fell but does not loss consciousness. On further questioning, she reveals a 4 month history of day time sleepiness with several episodes of falling a sleep during her classes. She believed that the episodes were related to poor sleep because of vivid dreams she had on falling a sleep. Which of following is most likely diagnosis ?

Cataplexy
Narcolepsy
Periodic paralysis
Hypersomnia


Please explain
Increased day time sleepines differentiating it from Cataplexy
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Old 01-13-2013
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Narcolepsy
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