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RARE CASE OF LATE-ONSET
JJ
by
Jennifer Jochim
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Updated May 5, 2022
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Chapters
00:00
Chapter 1
00:05
Chapter 2
00:14
Chapter 3
01:09
Chapter 4
01:28
Chapter 5
01:54
Chapter 6
02:19
Chapter 7
02:52
Chapter 8
03:34
Chapter 9
04:05
Chapter 10
04:28
Chapter 11
04:40
Chapter 12
05:17
Chapter 13
05:35
Chapter 14
05:37
Chapter 15
05:51
Chapter 16
#school
Audio Transcript
Auto-generated
00:01 - 00:01
Hi.
00:01 - 00:03
My name is Jennifer and my presentation is on
00:03 - 00:05
the rare case of late onset Narcolepsy Type one
00:07 - 00:11
Here is just an overview of narcoleptic type one symptoms and how to categorize them
00:11 - 00:14
as well as my individual case study down below
00:15 - 00:18
is considered a lifelong neurological disease and
00:18 - 00:20
is characterized by excessive daytime sleepiness,
00:20 - 00:21
cataplexy
00:22 - 00:24
as well as disrupted nocturnal sleep.
00:25 - 00:27
This disease is caused by the loss
00:27 - 00:30
of hypocrite neurons in the lateral hypothalamus.
00:30 - 00:31
The disease,
00:32 - 00:35
it's suggested to have an autoimmune ideology.
00:35 - 00:38
The typical age of onset is the second decade
00:38 - 00:40
in another smaller peak in the 4th decade
00:41 - 00:42
and
00:42 - 00:47
Any cases after like considered 50 years or 70 years is considered rare.
00:47 - 00:48
You too.
00:49 - 00:53
Less likelihood of cases being recognized or even
00:54 - 00:54
known about
00:56 - 01:01
and out to the side is just a small diagram showing healthy sleep
01:01 - 01:02
and
01:02 - 01:08
narcoleptic sleeping where you can see that it's fragmented
01:10 - 01:12
cataplexy is caused by a loss of
01:13 - 01:14
the chemical hypocrite,
01:14 - 01:17
in which is the brains alert system that regulates sleep and wake
01:17 - 01:19
due to the hypothalamus being damaged or destroyed.
01:19 - 01:21
Attacks of cataplexy may occur.
01:22 - 01:24
Attacks are provoked by strong emotions such as laughter
01:25 - 01:28
and is determined by loss of muscle tones with regained consciousness.
01:29 - 01:32
Hypnotic logic, hallucinations, right?
01:36 - 01:41
They have no gogic hallucinations are diagnosed by multiple sleep latency test.
01:42 - 01:44
These hallucinations or illusions appear dreamlike
01:44 - 01:46
to the patient from smell visually,
01:47 - 01:48
physically and auditory lee
01:49 - 01:52
near sleep onset and what occurred from sleeping to awake
01:52 - 01:53
is known as
01:53 - 01:54
hypno pump. It
01:57 - 01:59
sleep paralysis, also known as antonia
01:59 - 02:03
occurs in rem sleep and a patient may feel as if
02:04 - 02:05
they are breathless or suffocating
02:06 - 02:09
with the inability to move or speak during transitions and sleep
02:09 - 02:12
and feeling as if someone is standing or sitting on their chest,
02:12 - 02:13
through the chest pressure,
02:15 - 02:17
feelings that one is outside of one's body,
02:20 - 02:21
another symptom
02:21 - 02:23
and narcolepsy type one includes
02:24 - 02:25
instantaneous firm,
02:25 - 02:26
which can be
02:27 - 02:29
seen as muscular paralysis.
02:29 - 02:33
Poor nocturnal sleep, which contributes to feelings of sleepiness upon waking,
02:35 - 02:40
quick onset of rem sleep causes inadequate rest and correlating mental issues,
02:41 - 02:42
lots of muscle
02:42 - 02:44
control due to
02:45 - 02:50
protective protective of rem sleep.
02:53 - 02:56
Here we have our specific case study
02:56 - 02:59
and our uniqueness of the study. Livelihood.
02:59 - 03:03
Medical history testing and treatment as well as our bibliography
03:05 - 03:07
and the patient is 69 years old, retired
03:08 - 03:09
and living with his wife
03:10 - 03:11
and
03:11 - 03:14
I was diagnosed with excessive daytime sleepiness
03:15 - 03:17
and no known triggers such as illness.
03:17 - 03:19
He was previously treated for high cholesterol,
03:19 - 03:21
chronic obstructive preliminary disease
03:22 - 03:23
or to hypertension
03:23 - 03:25
in history of deep vein.
03:28 - 03:28
The
03:29 - 03:30
goose's,
03:30 - 03:32
He drinks a couple of beers
03:32 - 03:34
and smokes about 20 cigarettes every day
03:36 - 03:40
In this study is unique due to the age of onset. He was 69 when
03:40 - 03:44
he was diagnosed with excessive daytime sleepiness. He had no
03:44 - 03:48
sleep onset rem detected in nocturnal sleep. In the first trials.
03:49 - 03:51
A neurological exam did not reveal
03:51 - 03:54
any neurological cognitive or physical findings,
03:55 - 03:57
no symptoms of sleep paralysis or initial signs of
03:58 - 03:59
I've gotten it
04:00 - 04:04
hallucinations until patient woke up to put imaginary dog from a dream.
04:07 - 04:08
The patient reported
04:09 - 04:12
That he lives with his wife. He's retired and likes to fish
04:12 - 04:15
in his free time. He likes to smoke approximately 20 cigarettes a day
04:16 - 04:20
and drinks a couple of beers. He also falls asleep watching TV reading
04:20 - 04:25
and on on an iPad versus doing physical things such as such as fishing
04:25 - 04:27
where he doesn't tend to fall asleep as much.
04:29 - 04:31
The patient's medical history includes
04:31 - 04:33
previous diagnosis with preliminary disease,
04:33 - 04:36
history of deep vein thrombosis,
04:36 - 04:40
arterial hypertension and a history of high cholesterol.
04:42 - 04:43
Through diagnostic testing, the
04:44 - 04:46
multiple sleep latency test showed
04:46 - 04:48
the sleep latency of 2.1 minutes
04:49 - 04:53
And the patient slept in five out of five studies achieved Raymond three tests
04:53 - 04:55
while the multiple sleep wait
05:00 - 05:01
in diagnostic testing.
05:02 - 05:02
The
05:03 - 05:04
maintenance of wakeful test
05:05 - 05:07
performed in order to renew his license
05:07 - 05:08
To drive
05:08 - 05:10
confirmed excessive daytime sleepiness.
05:11 - 05:13
And the patient slept in all four tests
05:13 - 05:14
With a sleep latency of
05:15 - 05:16
0.25 minutes.
05:17 - 05:18
Mhm.
05:18 - 05:22
The pain. The patient's treatment included a refusal of stimulant.
05:23 - 05:24
However,
05:24 - 05:26
the patient was also given
05:26 - 05:28
climate prime
05:29 - 05:34
Which started at 250 mg and over a few months was increased to 50 mg.
05:35 - 05:37
The patient was overall satisfied
05:39 - 05:40
with
05:42 - 05:44
the patient was overall satisfied
05:45 - 05:48
to cope with excessive daytime sleepiness by
05:48 - 05:50
napping after meals.
05:52 - 05:54
And this is my bibliography here,
05:54 - 05:58
the resources that I used and thank you for tuning in
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