In the Article “ Diagnosing narcolepsy with cataplexy on
history alone: challenging the International Classification of Sleep Disorders
(ICSD-2) criteria”, Morrison, J. et al. argues that the second version of the
International Classification of sleep disorders suggests narcolepsy with
cataplexy can be diagnosed on history alone.
The Narcolepsy specialists claim that there are two types
of narcolepsy; narcolepsy with cataplexy (muscle weakening) and narcolepsy
without cataplexy. The symptoms of narcolepsy are rarely recorded in past
history, but some cases can be found. Adults can live most of their lives with
narcolepsy without knowing it, but with them not knowing it can be very
dangerous and can lead to inappropriate long term management.
The Narcolepsy specialists develop this claim by first
conducting an experiment on five patients with a history supportive of
narcolepsy with cataplexy. Only two cases were accepted to be narcoleptic. The
specialists investigates by multiple sleep latency testing looking for symptoms
associated with the narcolepsy patients. The Narcolepsy specialists explore the
patients excessive daytime somnolence (eds.), sleep disordered breathing (SBD),
and their rapid eye movement(REM).
Lastly, they start to initiate therapy to exclude other
narcolepsy-like conditions. The narcolepsy specialists purpose was for the recognition of the various narcoleptic
symptoms to improve patient safety in order to avoid further development of
symptoms such as rapid eye movement, excessive daytime somnolence, cataplexy, sleep-disordered breathing ect., that could be harmful and life threatening. Also to avoid further
development of those symptoms and to motivate narcoleptic patients to immediately
refer to specialists to confirm the diagnosis of narcolepsy or narcolepsy with cataplexy.
This work is significant because people with narcolepsy
at a young age can live with it until they become adults, by then they will
start having severe symptoms that can cause heart damage and will cause them to have a harder time living
with narcolepsy. Narcolepsy can be very dangerous
to live with, it can cause danger to whoever has it and to the people
surrounded by them. Most people with narcolepsy do not find out they have narcolepsy until they have cause a car accident by falling asleep behind the wheel.
Works Cited
Morrison, I.Bušková, J.Nevšimalová, S.Douglas, N. J.Riha,
R. L. "Diagnosing Narcolepsy With Cataplexy On History Alone: Challenging
The International Classification Of Sleep Disorders (ICSD-2) Criteria." European
Journal Of Neurology 18.7 (2011): 1017. Advanced Placement Source.
Web. 5 Oct. 2012.
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