Narcolepsy in Children
By Jonas Wilson, Ing. Med.
Narcolepsy is classified as a neurological disorder and is characterized by excessive daytime sleepiness. In children, narcolepsy with its recurring episodes of ‘sleep attacks’ can lead to social as well as academic dysfunction. Narcolepsy syndrome (NS) features vivid pseudo-dream experiences just before sleeping or upon awakening, referred to as hypnagogic and hypnopompic hallucinations, respectively. NS also presents with cataplexy, which is an abrupt and unexpected loss in muscular tone as a reaction to strong emotions. Narcoleptic children often have an ongoing struggle to avoid somnolence and may fall asleep in unusual places and unpredictable times.
Causes
The etiology of narcolepsy
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While the condition is often seen in young children, most reports are first made in the adolescent and young adult populations, between the ages of 15 – 25 years. This is mostly because symptoms associated with narcolepsy can be nonspecific and can be easily mistaken for other disorders, such as epilepsy and attention deficit hyperactivity disorder (ADHD). Misdiagnoses, as a result, lead to a significant delay in identifying narcolepsy.
Based on several studies involving narcoleptic patients, there is a wide range in the age of onset. The average youngest reported age of onset and/ or diagnosis is 2.1 years. There is a peak at the age of 14 years and patients well into their middle ages have also been diagnosed for the first time. In one study, approximately 3 out of every 10 participants were diagnosed before their 15th birthdays. Another 16% and 4.5% of those surveyed were diagnosed before the ages of 10 and 5 years, respectively.
Signs and
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A child constantly falling asleep in the day, for example during class, while eating or in the middle of a chat, is typically one of the first warning signs of narcolepsy. Narcoleptic children may tell their parents, guardians or teachers that they are having the feeling of tiredness all the time. Important to note is that sleepiness in these children may often cause them to have an increase in activity rather than a decrease. This is often accompanied by aggression and
Narcolepsy is a sleeping disorder that occurs during the adolescence stage. It is peculiar as it causes the afflicted person to develop a spontaneous sleep cycle during the day. This disorder prompts “sleep attacks” to occur, and can even be accompanied by cataplexy, random muscle failure or really just REM sleep paralysis (Zimbardo, Johnson, Weber,2008, p.109). It can be dangerous as the attacks can be triggered at any time by intense feelings of emotion or a lack of stimulation. This means that in cases such as driving, sexual intercourse, and times of extreme happiness a narcoleptic person could just fall straight into REM sleep (Zimbardo, Johnson, Weber,2008,
In his article “Narcolepsy,” Jerome M. Siegel discusses the disease and its possible causes. To begin with, Siegel defines the symptoms and problems associated with the disease. Moreover, he states what exactly the disease is, his research into its causes and effects on the nervous system, and the possibility that the narcolepsy may be an autoimmune disease.
Narcolepsy is very hard to diagnose, since many conditions have fatigue as a symptom. The average time it take to diagnose narcolepsy between the beginning of symptoms and the diagnosis is seven years. Misdiagnosis is also very common. The common is depression, followed by insomnia, and then sleep
Firstly, what is narcolepsy? Narcolepsy is a neurological disorder that effects your central nervous system that does not allow the person to have a regulated sleep cycle. A regular person normally has a 90 minute sleep cycle, while a narcoleptic goes straight into REM sleep. Since they go straight into REM sleep, the brain does not have a chance to recover from its constant activities. A narcoleptics
As stated in a previous statistic, sleep disorders unfortunately target a wide variety of ages. Children are commonly affected by Sleep Apnea, teeth grinding, Night Terrors, Nightmares, sleep walking, Restless Leg Syndrome, bedwetting, and Sudden Infant Death Syndrome. Adults tend to be affected by Insomnia, Hypersomnia, Sleep Apnea, Narcolepsy, Sleep Paralysis, Hypopnea Syndrome, and Noctoria. Sleep disorders are very common and also very dangerous in some circumstances. Ill treating or ignoring sleep disorders can lead to lethargy, poor mood, lack of motivation, and may negatively impact
Sleep paralysis is a common condition with a prevalence of 5-62%, although most affected people have single or infrequent episodes (Dahlitz). Occasionally sleep paralysis is found to run in a family, and it can be associated with other disorders of hypersomnia, such as sleep apnea (Becker 81). Narcolepsy has also been linked with sleep paralysis; both are thought to be REM sleep disorders (Siegel). Gender and race do not seem to be a factor of risk for this disorder. The episodes of sleep paralysis seem to range from ages 5-35 (Dahlitz). The use of anxiolytic medicines, psychiatric disorders and high anxiety can also contribute to sleep paralysis (Larkin).
Summary: Narcolepsy and cataplexy are lifelong illness due to the loss of Hypocretin in the brain. Hypocretin is a chemical that regulate sleep cycle, without it people will experience sleep disorder. There is no cure for the disease. However, condition can be managed by drug therapy and several behavioral strategies. But I am looking forward that one day researcher will find a cure for it so I can live my life normally as I used before.
The sleep cycle is often the first symptom to pre-schizophrenia. "Infants were reported to sleep almost constantly' during the first few months, yet by the age of six months, they refuse to sleep at all". (Cantor, 1988) Severe nightmares are very common in the first two years of life, where the child is unable to be awoken, or the child wakes spontaneously, vomits, and falls back asleep. (Cantor, 88) By the time the child is three or four, serious sleep disorders begin to develop. "The child just can't fall asleep, and it seems like they just can't relax". (Cantor, 88) These children are more likely to sleep walk, and have no fear in doing anything while in this state. "Both sleep behavior and understanding of danger improve as the child matures; in fact, schizophrenic children become cautious and fearful as the awareness of their alien world
Some symptoms of narcolepsy include the following: Cataplexy, hallucinations, excessive daytime sleepiness (EDS), and sleep paralysis. Cataplexy consists of loss of muscle tone which leads to feelings of weakness and loss of muscle control, it can cause slurred speech and your body can even collapse, all depending of what muscles were involved. Hallucinations are just delusional experiences that are vivid (seem real) and frequently they are freighting. EDS consist of things such as memory lapse, depressed mood, mental cloudiness, lack of energy and concentration and/or extreme exhaustion. Sleep paralysis is when you temporally and inability to move or speak.
Males and females are equally affected by narcolepsy. Although the disorder has been diagnosed in a five-year-old, its symptoms most frequently appear for the first time during adolescence. In an estimated seventy-five percent of cases, the attacks begin between the ages of fifteen and twenty-five; only five percent of cases begin before the age of ten. Onset is rare after the age of forty; if narcolepsy seems to appear in an older person, it has probably existed undiagnosed for years. Sleep researchers believe that the extra need for sleep characteristic of adolescence may make this stage of development particularly vulnerable for the onset of narcolepsy. Thus, this disorder may typically begin in adolescence because it is somehow triggered
Sleepwalking is commonly seen in older children. It ranges from getting out of bed to prolonged and complex actions. "Sleepwalking occurs relatively often among children; one can even cause it intentionally simply by picking up a child or adult in deep sleep and standing them on their feet" Borbely (1986). In adults, sleepwalking could indicate a personality disturbance. For instance, a good amount of adults that sleepwalk are suffering from depression. It is thought that this condition is hereditary and can be brought on by stress, also by not getting enough sleep or a high fever.
Roddick and Cherney also mentioned that Insomnia alludes to the powerlessness to nod off or to stay snoozing. It can be created by jet lag, stress, and nervousness, hormones, or stomach related issues. Insomnia can likewise bring about weight pick up, trouble concentrating, fractiousness, and melancholy. They likewise spoke somewhat about Sleep apnea, which is described as a delay in breathing amid rest, regard this as a genuine therapeutic condition since it can bring about the body to take in less oxygen. It can likewise make you wake up amid the night. Narcolepsy is generally known as a "sleep assaults" that happen amid the day. Which it can make individuals feel to a great degree tired and nod off with no notice. The turmoil can likewise
The exact beginning cause of narcolepsy is not yet discovered by scientists, but most believe that it is caused by genetics and an environmental trigger. Scientists have discovered that people with narcolepsy are lacking in hypocretin (also called orexin), a chemical in the brain that activates arousal and regulates sleep. Narcoleptics generally do not have as many Hcrt cells (neurons that secrete hypocretin), inhibiting his or her ability to fully control alertness, which accounts for his or her tendency to fall asleep (Robinson and Segal, 2013). The scientists are working on ways to increase Narcoleptics Hcrt cells to reduce the symptoms that they suffer from. Many people with narcolepsy are often, if not always, misdiagnosed or not even
Sleep disorders have always surrounded me through family and friends. though I never suffered with any sort of sleeping disorder, I was well aware of how unnerving it can be toothless who suffer from it. I did not know all of the different types there were, and was intrigued when reading chapter three of my psychology book. I had assumed that nigh terrors, which I used to think were the same as nightmares, were over exaggerations of a person’s scary dream. Sleepwalking also held interesting facts that I didn’t know prior. Having a best friend who occasionally sleepwalks, I was always interested in why she would seldom remember both walking and talking. I also appreciated learning about sleep apnea because my father used to struggle with it and would worry my mom about his breathing when he was asleep.
Considering, less is associated with adolescents and youngsters who are dealing with insomnia, which is the inability to fall asleep, is effected by twenty-five percent. Therefore, when one does fall to sleep a frequent awakening may occur.