Cataplexy

Introduction Heterogeneous sleep disorders. The muscle tension suddenly disappeared during the attack, and the patient fell as if it had suddenly entered the phase of heterosexual sleep from waking state for several seconds or even minutes. Can be seen as a manifestation of narcolepsy, but different from narcolepsy. Emotional changes are the main predisposing factors, such as getting angry, laughing, or suddenly completing an action, such as trying to catch an object flying from the side. Studies have shown that it is related to clan inheritance. Psychotropic drugs such as amphetamine and imipramine have certain therapeutic effects, indicating that such patients need to enhance the function of monoamine neurotransmitters in the brain. Amphetamine can promote the release of monoamine transmitters, and imipramine can inhibit the increase of monoamine neurotransmitters in the synaptic cleft, thereby improving the transmission of neuronal information. The efficacy of the two drugs indicates that the disease is associated with disorders of heterogeneous sleep brain chemistry.

Cause

Emotional changes are the main predisposing factors, such as getting angry, laughing, or suddenly completing an action, such as trying to catch an object flying from the side. Studies have shown that it is related to clan inheritance. This disease is associated with disorders of heterogeneous sleep brain chemistry. More attention should be paid to the possible causes of heart disease, brain diseases, and the stumble performance caused by epilepsy and high fever.

an examination

Related inspection

EEG examination of brain CT

The muscle tension suddenly disappeared during the attack, and the patient fell as if it had suddenly entered the phase of heterosexual sleep from waking state for several seconds or even minutes. Can be seen as a manifestation of narcolepsy, but different from narcolepsy. The muscle tension suddenly disappeared during the attack, and the patient fell as if it had suddenly entered the phase of heterosexual sleep from waking state for several seconds or even minutes.

Differential diagnosis

Dumping syndrome: Dumping syndrome refers to the loss of the pylorus or its normal function after gastrectomy and gastrojejunostomy due to surgery. The food in the stomach suddenly falls to the duodenum or jejunum, which can cause a series of symptoms. It can occur after any type of stomach surgery, and is more common after the Billroth II type of gastrectomy. The vagus nerve injury caused by esophageal surgery can also cause dumping symptoms.

Easy to fall: due to the influence of certain diseases, the patient is prone to clinical manifestations of falls. Gait disorders are one of the reasons for falling. Gait refers to the posture of the patient while walking. It is a complex exercise process that requires a high degree of coordination between the nervous system and the muscles, and involves many spinal reflexes and adjustments of the large and cerebellum, as well as the complete coordination of various posture reflexes, sensory systems, and motor systems. Therefore, observing gait often provides important clues to neurological diseases. Different diseases can have different special gaits, but gait is not the basis for diagnosis, but has a reference for diagnosis. Care should be taken to exclude gait abnormalities caused by bone deformities and bone, joint, muscle, blood vessels, skin and subcutaneous tissue.

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