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Catapelxy


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#1 greatbig47

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Posted 15 April 2008 - 07:23 AM

As long as my feet have met the ground, I've never known exactly what cataplexy is.

Now wait, I know...It's a symptom of narcolepsy..blah, blah, blah...

But what IS it?
What is my body doing during a seizure?
What exactly is my brain doing when I'm
laughing and about to fall?

Anyone?

Thanks!

-Stu

#2 Cryopathic

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Posted 15 April 2008 - 08:52 AM

Got this off of Wikipedia. tongue.gif



Cataplexy is a strange neurologic situation, which is sometimes confused with epilepsy.


Cataplexy often affects people who have narcolepsy, a disorder in which there is great difficulty remaining awake during the daytime.

The word cataplexy means, "to strike down." It happens in narcolepsy patients who describe it as sudden attacks of muscle weakness. It usually affects both sides of the body. It often happens because of strong emotions.

These patients experience sudden loss of muscle tone and falls down at moments of strong emotion such as stress, laughter, anger or frightening experiences. Sending electric signals through the muscles and gauging their response can measure the phenomenon. People with cataplexy may injure themselves.

Cataplexy requires separate treatment from narcolepsy. Often, Imipramine or Desipramine can completely control this situation, when given in gradually increasing doses.

Cataplexy Causes
Depending on the severity of the attack, the episodes of muscular weakness show up as anything from a hardly noticeable slackening of the facial muscles to the dropping of the jaw or head, weakness at the knees, or total collapse on the floor.

Speech is slurred; eyesight weakened, but hearing and awareness remain undisturbed. These attacks are triggered by strong emotions such as excitement and laughter, anger and surprise.

Cataplexy may be most severe when the subject is tired rather than completely alert and can lead to considerable anxiety although anxiety itself is not a trigger. The attacks last some minutes and may end in continuation of normal behavior or the sufferer may slip into sleep sometimes of extended duration.

Cataplexy Symptoms:
With the help of unexpected and sudden loss of skeletal muscle tone (weakness or paralysis), cataplexy can be categorized. It is extremely unpredictable both in severity and frequency. Cataplexy may occur occasionally but may occur many times a day.

Muscle tone loss varies from mild to severe. The usual duration is from a few seconds to several minutes. Cataplexy may be partial or complete, affecting a range of muscle groups, from those controlling facial features to (less commonly) those controlling the entire body.

Arm weakness
Sagging jaw
Drooping head
Slumping of the shoulders
Slurred speech
Generalized weakness
Knee buckling
Essentially, cataplexy is a symptom only found in narcolepsy and therefore, the presence of cataplexy makes narcolepsy diagnosis much more certain. Easily overlooked and frequently undiagnosed, cataplexy may affect the most basic activities of daily living.

By impairing primary functions like talking, eating, standing, walking, or driving, it can prevent patients from experiencing important activities such as holding a child, going to a movie, interviewing for a job, attending a party, participating in a meeting, or working out at the gym.

Even mild to moderate cataplexy symptoms or the fear of those symptoms can bound activities.

Symptoms cause humiliation and loss of self-esteem, leading to less social interaction, difficulty with interpersonal relationships, and depression. Symptoms of narcolepsy, including cataplexy, have been shown to have a severe impact on quality of life.

Cataplexy Treatment:
There is no cure for narcolepsy, but treatment focuses on controlling its symptoms. Excessive daytime sleepiness is treated with central nervous system (CNS) stimulants and wake-promoting agents.

The symptoms of cataplexy have been often suppressed with the help of Tricyclic antidepressants and selective serotonin reuptake inhibitors, although they are not approved for this indication. Xyrem is the first and only FDA-approved product for the cataplexy treatment related with narcolepsy.

#3 Cryopathic

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Posted 15 April 2008 - 08:56 AM

Oh, and by the way Stu, you've spelt "Cataplexy" wrong in the title. Just saying. smile.gif

#4 greatbig47

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Posted 15 April 2008 - 10:56 AM

QUOTE (Cryopathic @ Apr 15 2008, 09:56 AM) <{POST_SNAPBACK}>
Oh, and by the way Stu, you've spelt "Cataplexy" wrong in the title. Just saying. smile.gif


Listen here, you little punk tongue.gif...
Why I outta.... laugh.gif

(Nice catch

Good post, Man.

The Wikipedia copy was good...I've seen that before.

Sometime when I have a week, I want to create an animation that explains what happens exactly.
From the moment something funny is said to the moment when the narcoleptic is able to crawl off the floor.

I bet a lot goes on in those split seconds that we don't know about.

think?

Stu



#5 Cryopathic

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Posted 15 April 2008 - 10:58 AM

Hey Stu Im good at making animations I'll make one and put it up ok?

#6 Cryopathic

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Posted 15 April 2008 - 11:47 AM

There we go...lol

Attached Files



#7 Cryopathic

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Posted 15 April 2008 - 04:54 PM

I made it in Pivot Stickfigure Animator.

#8 sleepyavon

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Posted 15 April 2008 - 09:57 PM

Amazing, so Funny! I have done lots of reading and research over the years, and so far, what I have found is that in Cataplexy, for some reason there is a short in our brain... the Amygdala processes exteme emotions, such as Laughter, etc. In narcoleptics, the Amygdala does not receive the Hypocretin signal from the Hypothalamus, so the Amygdala is like Hey, Uh, Oh, she/he's must be dreaming (REM sleep) and tells the Medulla Oblangota, which brings on the paralysis, the lack of muscle tone which normally only occurs during Rem Sleep.

#9 sleepy1

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Posted 16 April 2008 - 09:29 AM

QUOTE (Cryopathic @ Apr 15 2008, 02:56 PM) <{POST_SNAPBACK}>
Oh, and by the way Stu, you've spelt "Cataplexy" wrong in the title. Just saying. smile.gif



Awesome, I love the cartoon...
Kathie

#10 Cryopathic

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Posted 16 April 2008 - 12:59 PM

Thanks Kathie smile.gif

#11 Julie A

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Posted 18 April 2008 - 03:37 PM

Oh my God, THAT nearly made me collapse! That was great! laugh.gif

#12 Toph4er

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Posted 20 April 2008 - 07:55 PM

Can you put those little vids as avatars? lol, if so I want one tongue.gif

#13 miss_sleepy

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Posted 26 April 2008 - 12:11 PM

I am confused about Cataplexy also. I am newly diagnosed. When I get suddenly frightened, my body tightens up and will not move for a few seconds, and a terrible "electric" shock runs through my body, it is frightening and very painful. But I have never fallen down. When I unexpectedly ran into my first love (who I'll never get over), My knees went weak, I stopped breathing, and started to loose my balance, but my sweet husband caught me. I also uncontrolably burst into tears. My Doctor says you can have emotional cataplexy, which I have never heard of before. She said an emotional cataplectic (sp?) attack is an uncontrolable outburst of emotions. Anyone else experienced this or heard of it? Do any of my experiences sound like cataplexy?

Thanks for your help!



#14 miss_sleepy

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Posted 26 April 2008 - 12:16 PM

Isn't it normal to get weak in the knees with emotions? Were all those women who fainted at seeing Elvis experiencing cataplexy?
I have fainted a lot at the sight of my own blood, but lost consiousness and woke up in pain. Can that just be normal?

#15 greatbig47

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Posted 26 April 2008 - 12:39 PM

Tony...GREAT animation. It would be awesome as an avitar. We'll have to talk...

QUOTE
She said an emotional cataplectic (sp?) attack is an uncontrolable outburst of emotions. Anyone else experienced this or heard of it? Do any of my experiences sound like cataplexy?


A cataplatic attack is NOT an uncontrollable outburst of emotions. That is completely wrong by all definitions I have heard and experienced. A cataplectic attack is BROUGHT ON by a strong emotional response, like laughter or fright or anger. The strong emotional response triggers a paralyzing of the body (like Tony's Animation).

QUOTE
I have fainted a lot at the sight of my own blood, but lost consiousness and woke up in pain. Can that just be normal?


It's not abnormal. Many people loose conscience at the sight of blood. That is not cataplexy though. With cataplexy, you never lose conscience. You are aware of everything that is going on around you while it happens.

#16 Toph4er

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Posted 26 April 2008 - 11:18 PM

miss sleepy, I too get those electric shock feelings, but I never think of telling my doc about them. I also get similar shocks sometimes when I am tired and move my eyes left and right rapidly. *Shrug*

Also sleepyAVON, thanks for the description of how C works, I'll have to quiz my sleep doctor with that tongue.gif

Chris"Toph4er"

#17 Shambo

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Posted 20 May 2008 - 03:04 PM

QUOTE (miss_sleepy @ Apr 26 2008, 10:11 AM) <{POST_SNAPBACK}>
I also uncontrolably burst into tears.


I do too! Who's to say if it's related or not. I am still unsure if I have cataplexy at all, I get small eye lid droops and knee buckles and leg muscle weakness and micro second arm drops.

If I see or experience any strong emotion, on tv or peoples interaction with me, no matter if its happy or sad or fearful or excited, I can't help but burst into tears. It's really hindered my ability for any type of confrontation. It has made me a huge fan of email. I have never been able to quit a job in person or have an argument with a family member face to face.

#18 Julie A

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Posted 21 May 2008 - 02:51 PM

I also experience those electric shock feelings, like a dip in ice cold water (as described on the forum in regards to cataplexy attacks) when I experience fear. I honestly, as Toph4er said, never spoke with my doctor about these. I just assumed they are normal. But now that you bring it up, the feeling is strikingly similar to a cataplexy attack, without the muffled/loud noise and the whole getting paralyzed thing.
Is this because it is a form of cataplexy?
Or maybe a normal feeling of fear, which in some people, triggers the paralysis?

I don't know. But very interesting theory.

As for emotional outbursts;
In my experience, as it relates to narcolepsy, extreme anger when I was younger when people did not understand how I felt. Especially in the morning when my mother woke me up to go to school. We spent many a morning fighting (sometimes I even threw things and a couple of times locked my bedroom door and mom had to break it down) because I just needed to go back to bed. Ahhh. . .(deep breath) childhood memories. At least now my mother and I can laugh.

But I have to say I am a crier. I can barely listen to the radio as most songs make me cry. TV shows like Law and Order, and sitcoms like Everybody loves Raymond can even break me down. I never thought of a relation to N. I have noticed these have gotten worse now that my N has gotten worse. Maybe due to sleep issues in general and effecting my moods? Again, very interesting. Thanks for sharing.

#19 Guest_sleepyamber_*

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Posted 08 July 2008 - 10:31 AM

Hello - new to board - not yet officially diagnosed...I also experience Cataplexy (what made me and my doctor suspect N)

Anyways I wanted to add to the emotional outbursts comments. Ever since all this sleepiness and cat-attacks started years ago I've become the biggest crier & giggler I know. I actually have to warn people that I cry easily - I cry and or giggle uncontrollably when I get hurt, angry, sad, etc. - more so when I'm extremely tired. The first noticeable time was when I was a bridesmaid for my sister - as soon as she walked down the aisle, I cried like a baby through the whole ceremony - I still to this day cannot figure out why I cried! I wasn't all that happy for her - definately not sad - it was so weird. Luckily Zoloft helped even me out a little.

And when I get hurt - like the other day, I bumped my head on something. I just stood there unable to move or talk and just kept giggling - my boyfriend thought I was crazy. so weird. huh.gif

And to the person who mentioned not being able to do things like quit a job in person - just went through that and cried the whole way through it. It was so awkward! I also giggle when I'm trying to tell someone something serious - I always look like I'm lying. Im 28 - I shouldn't be giggling and crying at work! angry.gif

PS Since I'm not officially PWN.. this can all be caused by something else I guess... I've read it happens in people who have had a stroke. they call it "emotional lability" or "labile affect"

#20 Lais02

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Posted 11 July 2008 - 04:06 PM

Interesting with the emotional stuff. Prior to my N diagnoses one of the things the diagnosed me with was social anxiety disorder.

I never do well with leaving a job or breaking up with someone even if it was a very short thing. The strangest things set me off too. I'm cried from radio commercials, songs, tv shows and movies. But the weird part is that they weren't just the ones that are supposed to make you really sad.

Anyways I just thought I'd let you know I'm the same way with the rocky emotions.