Michael J. Thorpy, MBChB: The Subtle Manifestations of Cataplexy

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  • čas přidán 4. 09. 2024
  • The director of the Sleep-Wake Disorders Center at Montefiore Medical Center spoke about one of the major symptoms of narcolepsy and how to identify it during diagnosis.
    Read more: neurologylive.c...

Komentáře • 23

  • @emandeli1585
    @emandeli1585 Před 3 lety +10

    Very intelligent Dr. I believe family physicians especially need to be educated on how to recognize subtle signs of cataplexy.

    • @jant7881
      @jant7881 Před 2 lety +2

      I agree. I had a general doctor think I was making up the word cataplexy. He made me type it into his database and see what shows up. They didn't have it in their system. That was back in the early 2000's and I hope he's more educated now.

    • @dawnr7798
      @dawnr7798 Před 5 měsíci

      Agreed!

  • @CynBrunelle
    @CynBrunelle Před 3 lety +11

    As a person with severe Narcolepsy with Cataplexy I agree.
    Without my medications I fall down and collapse more than 20 times a day. With them, I still have these mild forms of cataplexy such as slurring and small twitches/spasms.

    • @emandeli1585
      @emandeli1585 Před 3 lety +2

      I have severe idiopathic hypersomnia. Dx about ten years ago but Dr thought had Narcolepsy except the daytime test didn’t quite show it, however on a medication that suppresses rem sleep (anti-depressants). I fall a lot, and get weird “melty face” and lots of twitching and spasms, lots sudden slurry voice and weird spells where suddenly not able to move really, like heavy body except breathing and my eyes can move very few times (slow, like gapped out wide eye, can’t snap out of it). The only thing I can liken it to is sleep paralysis like what I used to get a lot but since on adhd medication in daytime, it helps my sleep paralysis during nighttime (coincidence maybe). I just saw your comment and never thought the twitching (also facial twitching) might be related to cataplexy.

    • @smallREDdinosaur
      @smallREDdinosaur Před 2 lety

      Also have type 1 bro, feel ur pains

  • @Martin-ol4uq
    @Martin-ol4uq Před 3 lety +11

    I wish mine was that subtle. Mine's full-on paralysis, blindness, collapse, unable to talk or move for minutes at a time, several times a day.

  • @SonyaJeanette
    @SonyaJeanette Před 4 lety +16

    I like to describe it like having butterflies in every single muscle,

    • @jessd956
      @jessd956 Před 3 lety

      Like a weak feeling? Can this happen without a connection to an emotion do you know?

  • @dawnr7798
    @dawnr7798 Před 5 měsíci +1

    I didn’t even realize I had cataplexy until the sleep doctor asked me if I ever had muscle weakness with a positive emotion. For me, if I laugh my knees get weak and I have to eventually sit down. If I keep laughing I would eventually fall off the chair and the muscle weakness would just keep spreading. I never had it go that far because I would stop laughing. Once I was diagnosed with N1 I couldn’t believe I really had this thing called cataplexy.
    I let my family know that was gonna do an experiment and if I start laughing then don’t distract me. So one night I did. I laughed and didn’t stop, eventually fell off the couch because I couldn’t hold myself up, my face muscles felt paralyzed but I could still see and breath. Once I hit the floor I stopped laughing because it kinda scared me. Then my muscle strength came back.

  • @DestructoBaker
    @DestructoBaker Před 3 lety +6

    I've had Nacrolepsy/Cataplexy since a kid (now 23), I've experienced the more extreme cases like falling over and feeling paralyzed for up to minutes at a time but also the small side effects like weird facial twitching and my knees feeling weak.

  • @craftycatcus4796
    @craftycatcus4796 Před 3 lety +7

    My hands go really weak that I can’t wright and I start laughing

    • @teebellerina8783
      @teebellerina8783 Před 2 lety +3

      Yesssss! I lose all strength in my hands when I laugh. I thought this happened to everyone my entire life I can’t hold or grip ANYTHING when I feel to or actually start to laugh. I’ve absolutely no grip. My legs become very weak and it’s as of all my muscle strength disappears accept stomach muscles!

    • @andadashofmorganmae7567
      @andadashofmorganmae7567 Před 2 lety +1

      @@teebellerina8783 I experience that as well! I only experience it in my hands when laughing. I've noticed it since I was little but thought it was normal. I've only just recently been diagnosed at 18.

  • @rebeccahenderson2983
    @rebeccahenderson2983 Před 2 lety +3

    I have narcolepsy 1 and cataplexy was always one trigger (laughing) then when I turned 50ish all hell broke loose. My dog was nearing a boundary with no gate, I went to call out for her when it hit me like a ton of bricks sending me to the ground immediately and now if I even try to swat a fly, I am on the ground. EVERYTHING is a trigger now and I am exhausted, truly exhausted

  • @bloalels
    @bloalels Před 3 lety +6

    I have cataplexy and its not fun anymore... i often fall to the ground🤕

  • @jessd956
    @jessd956 Před 3 lety +6

    Also isn’t it true that cataplexy can present very infrequently?

  • @brandonr271
    @brandonr271 Před 3 měsíci

    Proptriptylin 20mgs a day keeps my cataplexy at bay and i live a normal life i had severe cataplexy and narcolepsy

  • @joelim5010
    @joelim5010 Před měsícem

    I notice this would happen to me after I force a sneeze out. Hence I think it got something to do with brain getting shocked or vibrated.

  • @neon4339
    @neon4339 Před 3 lety +2

    Ok so i want to confirm, I don't fall asleep or fall on the ground but my left leg and left hand and left part of the head stats to bend sometimes. Sometimes if i focus i am able to actually prevent them and sometimes it happens. So is it cataplexy

  • @Frank020
    @Frank020 Před 3 lety

    Mine is like this.

  • @SonyaJeanette
    @SonyaJeanette Před 4 lety +1

    Hmmmm. I was only diagnosed with cataplexy , not narc.

    • @andadashofmorganmae7567
      @andadashofmorganmae7567 Před 2 lety +2

      Same. My mother has narcolepsy and my doctor said there is a chance I will develop sleepiness over time. All of this stuff is so fascinating and frightening.