RARE CASE OF LATE-ONSET

JJ
by Jennifer Jochim1 view·Updated May 5, 2022

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  1. Hi.
  2. My name is Jennifer and my presentation is on
  3. the rare case of late onset Narcolepsy Type one
  4. Here is just an overview of narcoleptic type one symptoms and how to categorize them
  5. as well as my individual case study down below
  6. is considered a lifelong neurological disease and
  7. is characterized by excessive daytime sleepiness,
  8. cataplexy
  9. as well as disrupted nocturnal sleep.
  10. This disease is caused by the loss
  11. of hypocrite neurons in the lateral hypothalamus.
  12. The disease,
  13. it's suggested to have an autoimmune ideology.
  14. The typical age of onset is the second decade
  15. in another smaller peak in the 4th decade
  16. and
  17. Any cases after like considered 50 years or 70 years is considered rare.
  18. You too.
  19. Less likelihood of cases being recognized or even
  20. known about
  21. and out to the side is just a small diagram showing healthy sleep
  22. and
  23. narcoleptic sleeping where you can see that it's fragmented
  24. cataplexy is caused by a loss of
  25. the chemical hypocrite,
  26. in which is the brains alert system that regulates sleep and wake
  27. due to the hypothalamus being damaged or destroyed.
  28. Attacks of cataplexy may occur.
  29. Attacks are provoked by strong emotions such as laughter
  30. and is determined by loss of muscle tones with regained consciousness.
  31. Hypnotic logic, hallucinations, right?
  32. They have no gogic hallucinations are diagnosed by multiple sleep latency test.
  33. These hallucinations or illusions appear dreamlike
  34. to the patient from smell visually,
  35. physically and auditory lee
  36. near sleep onset and what occurred from sleeping to awake
  37. is known as
  38. hypno pump. It
  39. sleep paralysis, also known as antonia
  40. occurs in rem sleep and a patient may feel as if
  41. they are breathless or suffocating
  42. with the inability to move or speak during transitions and sleep
  43. and feeling as if someone is standing or sitting on their chest,
  44. through the chest pressure,
  45. feelings that one is outside of one's body,
  46. another symptom
  47. and narcolepsy type one includes
  48. instantaneous firm,
  49. which can be
  50. seen as muscular paralysis.
  51. Poor nocturnal sleep, which contributes to feelings of sleepiness upon waking,
  52. quick onset of rem sleep causes inadequate rest and correlating mental issues,
  53. lots of muscle
  54. control due to
  55. protective protective of rem sleep.
  56. Here we have our specific case study
  57. and our uniqueness of the study. Livelihood.
  58. Medical history testing and treatment as well as our bibliography
  59. and the patient is 69 years old, retired
  60. and living with his wife
  61. and
  62. I was diagnosed with excessive daytime sleepiness
  63. and no known triggers such as illness.
  64. He was previously treated for high cholesterol,
  65. chronic obstructive preliminary disease
  66. or to hypertension
  67. in history of deep vein.
  68. The
  69. goose's,
  70. He drinks a couple of beers
  71. and smokes about 20 cigarettes every day
  72. In this study is unique due to the age of onset. He was 69 when
  73. he was diagnosed with excessive daytime sleepiness. He had no
  74. sleep onset rem detected in nocturnal sleep. In the first trials.
  75. A neurological exam did not reveal
  76. any neurological cognitive or physical findings,
  77. no symptoms of sleep paralysis or initial signs of
  78. I've gotten it
  79. hallucinations until patient woke up to put imaginary dog from a dream.
  80. The patient reported
  81. That he lives with his wife. He's retired and likes to fish
  82. in his free time. He likes to smoke approximately 20 cigarettes a day
  83. and drinks a couple of beers. He also falls asleep watching TV reading
  84. and on on an iPad versus doing physical things such as such as fishing
  85. where he doesn't tend to fall asleep as much.
  86. The patient's medical history includes
  87. previous diagnosis with preliminary disease,
  88. history of deep vein thrombosis,
  89. arterial hypertension and a history of high cholesterol.
  90. Through diagnostic testing, the
  91. multiple sleep latency test showed
  92. the sleep latency of 2.1 minutes
  93. And the patient slept in five out of five studies achieved Raymond three tests
  94. while the multiple sleep wait
  95. in diagnostic testing.
  96. The
  97. maintenance of wakeful test
  98. performed in order to renew his license
  99. To drive
  100. confirmed excessive daytime sleepiness.
  101. And the patient slept in all four tests
  102. With a sleep latency of
  103. 0.25 minutes.
  104. Mhm.
  105. The pain. The patient's treatment included a refusal of stimulant.
  106. However,
  107. the patient was also given
  108. climate prime
  109. Which started at 250 mg and over a few months was increased to 50 mg.
  110. The patient was overall satisfied
  111. with
  112. the patient was overall satisfied
  113. to cope with excessive daytime sleepiness by
  114. napping after meals.
  115. And this is my bibliography here,
  116. the resources that I used and thank you for tuning in