Narcolepsy mslt
Common Questions and Answers about Narcolepsy mslt
narcolepsy
Thanks for the reply! I wondered if a MSLT would be the next step. When one has a MSLT- how long should one be off medications to obtain an accurate result? If the medicine is helping, is it worth it to to get a MSLT to have a proper diagnosis? I read that to have a MSLT, it's recommended to stop meds for up to two weeks, which whould shut me down for two weeks. In all honesty, I really don't care about a diagnosis anymore, I just want to be able to function normally again.
The combination of this study and my first MSLT nap study produced a perfect pattern for diagnosis of Narcolepsy.
Has there ever been a study to look at the coorelation between the 2 diseases. Would many CFS sufferers be classified narcoleptic if they took the appropriate test? Narcolepsy leads back to hippothalmus and lack of production of hypocretin/orexin(?). Seems like all things lead to hippothalmus. Thank you!
Have you discussed your excessive daytime sleepiness with your physician? It's possible you need to have a special kind of sleep study, called an "overnight polysomnogram with MSLT." The MSLT tests for Idiopathic Hypersomnia or Narcolepsy. Both of these conditions are treatable with medication, so it's important to get an accurate diagnosis.
I am assuming you had an overnight sleep test along with an MSLT nap test to receive this narcolepsy diagnosis. Did you have any other sleep disorders show up? Do you have episodes of cataplexy?
My sleep doctor is one who (in general) doesn't entertain a diagnosis of narcolepsy until any other sleep disorders are therapeutically treated, as long term sleep disorders can mimic narcolepsy in some respects.
This is evident in the Multiple Sleep Latency Test (MSLT). Narcolepsy is characterized by excessive day time sleepiness, sleep paralysis, cataplexy where the person has episodes of loss of muscle function while awake, hypnogogic hallucinations and automatic behavior. It can however be regulated with medications.
Hope this helped and do keep us posted.
This test is the standard test used rule out Narcolepsy and/or Idiopathic Hypersomnolence, as well as to detect sleep architecture abnormalities associated with narcolepsy.
You should continue taking prescribed medications until your doctor gives some other instructions. If you are taking stimulant drugs for narcolepsy such as Provigil, it should be discontinued only under the direction of your physician.
Sleep paralysis is the symptom of a sleep disorder called Narcolepsy. This sleep disorder is characterized by excessive day time sleepiness, sleep paralysis, cataplexy where the person has episodes of loss of muscle function while awake, hypnogogic hallucinations and automatic behavior.
It is usually diagnosed by sleep onset REM sleep (SOREMs), which is dream sleep in multiple episodes of MSLT (multiple sleep latency tests).
I have suffered from sleep disroders my whole life. When I was 10 years old I had a type of sleep apnea called Hypopnea. Every night would result in me seeing spiders and snakes and getting out of bed screaming and running away out of terror. After months of this happening I went to a sleep Dr and had a sleeo study done, they informed me of what I had and that my tonsils were blocking my airways.
The formal way of diagnosing narcolepsy is to undergo a multiple sleep latency test (MSLT) which is a daytime study after an overnight sleep study. If you're REM sleep deprived in general, you'll have what's called REM rebound, where you go into REM much quicker than normal. You may want to mention your symptoms the next time you meet with your sleep doctor.
Yes, narcolepsy can result in disturbed nighttime sleep. Narcolepsy can only be diagnosed with a multiple sleep latency test during the day (usually preceded by an all night sleep study).
Dr.
The patient is taking Lamictal for depression and Provigil for narcolepsy (EDS) diagnosed via MSLT.
As you have been investigated extensively, your symptoms of excessive sleepiness could be due to either narcolepsy or idiopathic hypersomnia. Narcolepsy is diagnosed by the sleep onset REM episodes (SOREMs), wherein the person goes into the dream phase or REM cycle soon after sleep onset. This is evident in the Multiple Sleep Latency Test (MSLT). And idiopathic hypersomnia is diagnosed by exclusion. Treatment is based on the cause.
Hope this helped and do keep us posted.
Hello,
Without physical examination and investigations,diagnosis is difficult but your symptoms are suggestive of narcolepsy. Narcolepsy is a neurological condition most characterized by Excessive Daytime Sleepiness (EDS), in which a person falls asleep during the day at inappropriate times, such as at work.Diagnosis is by polysomnogram and the multiple sleep latency test (MSLT).
I sincerely advise you to consult a sleep specialist and discuss this possibility with him.
m also always fatigued, sleepy and low energy, but I keep myself moving and motivated. I have been seeing a sleep specialist who diagnosed me with Narcolepsy (Polysomnograph and MSLT both suggestive of narcolepsy i.e. 4 SOREMs with mean latency of <8 minutes)
About me:
24 years old white male, fair skinned with dark blonde hair, 6''0", 195lbs, in shape and athletic (work out and jog 5-6 days of the week). University educated and work in government policy, 9:00-5:00.
I was reading up about it and this lead me to read about Narcolepsy as Cataplexy is a unique symptom to this condition. I read about the symptoms and I am now afraid that I may be suffering from it.
I have very vivid and sometimes lucid dreams and I wake up almost every hour of the night for short spans of time. Sometimes I cannot tell my dreams from reality and I often hear noises and see things during the night that aren't really there.
Hi, my 19 yr old has a blocked vein, and now, after many tests, including a tilt table tests, and MSLT, shows she does not have narcolepsy.
However, until this onset, the Dr was certain, as am I after much research, that she is having cataplectic attacks. However, due to the fact, there are only 4 diagnosed cases in the world, he is changing his mind, and treating her something totally different.
I am looking for someone who has been diagnosed with cataplexy without narcolepsy.
I have been tested for everything under the sun (except for chronic Lyme) and everything is normal except my questionable MSLT. It all started when I was in my second round and second month of taking accutane, maybe even this drug is related? I am not convinced of my narco diagnosis either as the doctor wasn't positive either but I did go into R.E.M. On first two naps.
If you think it is narcolepsy, ask your doctor for a sleep study and/or a MSLT (mutli-sleep latency test). I was refered to a neurologist and he suggested these two sleep studies. Thank goodness! For 18 years I went to numerous doctors and specialists. Finally, I am getting some relief with medications. At least, if you do not have narcolepsy, you can rule this out and go on from there. I have narcolepsy without cataplexy.
He pulled -27 cm H20 with RDI of 13 episodes per hour during NREM and 25 during REM sleep. Oxygen Sat dropped to 88%. The MSLT was abnormal showing hypersomnolence but no REM sleep so no narcolepsy diagnosis. Setting ranged from 9 to 11 cm H20 on his CPAP - a ResMed EPR Elite II.
3 years of trying every mask and chin strap and with another PES sleep study to verify pressure, we finally gave up on CPAP and he moved to a TAP appliance. My son has very sensitive skin and tried his best to adjust.
First of all, I'm sorry the doctor who ordered your testing didn't go more in depth in explaining the results to you. The information I'm going to give you here is based strictly upon the diagnostic criteria for different conditions; doctors use a combination of test results and diagnostic guidelines AND clinical expertise to reach diagnosis and treatment decisions, so there is no guarantee that this information pertains to your case in particular.
Hi all I've just had my MSLT and been diagnosed with "Idiopathic Hypersomnia" it's all new to me and apart from understanding the concept I know very little.
Please can someone shed some light on managing this etc and which forum I need to post in.Its a rare neurological sleep disorder.
I am an MD. During residency, I gave birth, & developed significant postpartum depression & profound fatigue. I was unable to return to work. One year later I was still sleeping 14 hours/day. Overnight PSG: no OSA; mostly stages 1&2, paucity of REM. MSLT: MSL 6.3 min w/no REM (I do take Welbutrin, a REM-suppressant). Dx: idiopathic hypersomnolence vs narcolepsy w/o cataplexy. Meds didn’t help. 3 years later, repeat OPSG+MSLT: MSL=6.3 min, 1 REM episode at 4.5 min.
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