One of the properties of drugs given for the treatment of narcolepsy is that they permeate the placenta. In other words, the unborn child also undergoes the treatment, so to speak. Likewise, the active substance of commonly used drugs for narcolepsy is passed on to the newborn infant through breast milk. In rare cases, a narcolepsy patient may experience cataplexy during labour 2 and this can influence the process of delivery.
The data of a recently published study show that gestational diabetes occurs more frequently in patients with narcolepsy and cataplexy than in healthy women; the birthweight of the newborn also appears to be higher. Induction of labour is more frequently needed in patients with narcolepsy. Many narcolepsy patients report that the disease affects their care of newborn infants. In the majority of patients, the care of newborns is rendered difficult by daytime sleepiness or falling asleep involuntarily while breastfeeding or feeding the infant 2.
Narcolepsy -Pathophysiology, Diagnosis and Treatment (Ed. Baumann, Bassetti, Scammell)
Management of narcolepsy during pregnancy. Sleep Med.
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- Narcolepsy: Pathophysiology, Diagnosis, and Treatment by Christian R. Baumann.
Narcolepsy and pregnancy: a retrospective European evaluation of pregnancies. J Sleep Res. Assessment of pregnancy outcomes in Czech and Slovak women with narcolepsy. Med Sci Monit. Narcolepsy with cataplexy and pregnancy: a case-control study. When children have narcolepsy, their symptoms are often interpreted wrongly, which can make the condition even more distressing for the child. Also, children tend to compensate for their sleepiness though hyperactivity, so that hyperactivity disorders are often diagnosed when the real problem is narcolepsy 1, 3.
Narcolepsy in children can also be mistaken for laziness, defiant behavior, epilepsy, other neurological or medical conditions or intellectual disability 2, 3. Falls caused by cataplexic events may be interpreted as clumsiness 2. The symptoms of narcolepsy can trigger anxiety, feelings of shame and helplessness and depression in children.
Especially if the child experiences a lack of understanding and judgmental attitudes from people around them, they are likely to withdraw from social interaction 2.
Narcolepsy - Pathophysiology, Diagnosis, and Treatment | Christian R. Baumann | Springer
Excessive daytime sleepiness can also negatively affect concentration, memory and other cognitive functions, resulting in poor performance at school 2. Mayer G, Kotterba S. Stores G. The protean manifestations of childhood narcolepsy and their misinterpretation. Dev Med Child Neurol. The psycho-social problems of children with narcolepsy and those with excessive daytime sleepiness of uncertain origin.
Narcolepsy can have very negative effects on quality of life. Patients regularly experience social exclusion — due to the symptoms and their own efforts to manage them, and also to a lack of understanding of their condition by the people around them.
The symptoms of narcolepsy — such as daytime sleepiness and cataplexy — are unsettling for other people who observe them and are often mistakenly interpreted as signs of laziness, lack of interest, or even alcoholism or drug dependence. People with narcolepsy suffer a lot under this stigmatization. They often withdraw from social interactions, partly to avoid emotional situations that could trigger episodes of cataplexy, and partly due to embarrassment about the symptoms.
Narcolepsy can also cause problems with partners and family. If sufferers try to avoid emotional situations, they may appear reserved and distant. This is a key to maintaining as active a life as possible. Since daytime sleepiness also causes a higher risk of accidents, narcolepsy also influences the kind of work patients can do.
Some jobs are incompatible with the disease, for example driving motor vehicles, operating hazardous machinery, or working at height for example as a roofer. Monotonous activities can increase the risk of falling asleep, and irregular working hours can make the disease worse overall. Narcolepsy can manifest in school age. Falling asleep in class is often interpreted wrongly, and this can be very distressing for the pupil. People with narcolepsy can take several precautions that make travelling easier.
Travelling with a trusted companion is a great help.
If this is not possible, many airports and railway stations offer help in the form of support staff or wheelchairs. These can help to avoid agitation and physical exertion that could trigger cataplexy. To enable quick and correct treatment in emergencies, it is recommended to carry an emergency medical information card with you. It is also important to note that many medications prescribed for narcolepsy fall under controlled substances laws, and formalities have to be observed when travelling with them.
For trips of up to 30 days in duration within the Schengen area, a note from the prescribing doctor, certified by the district medical officer, must be carried 1. For travel outside the Schengen area, the patient must check the legal situation in the country or countries they are travelling to and must take appropriate measures to comply with the rules. Cause Orexin is a natural hormone produced in our brain that helps us to stay awake Changed sleep cycles Healthy people sleep in cycles of about 90 minutes each. Symptoms The classic symptoms of narcolepsy include abnormal sleepiness during the day, disturbed sleep at night, hallucinations, sleep paralysis and cataplexy.
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About this book The field of narcolepsy has developed enormously within the last 10 years. Show all. Christian R. Narcolepsy: Autoimmunity or Secondary to Infection? Fontana, Adriano et al. Pages Is Narcolepsy a Neurodegenerative Disorder? Peyron, Christelle Pages Appetite and Obesity Engel, Alice et al. Depression in Narcolepsy Lutter, Michael Pages Parasomnias in Narcolepsy with Cataplexy Dauvilliers, Yves et al.
Spectrum of Narcolepsy Bassetti, Claudio L. Secondary Narcolepsy Valko, Philipp O. Posttraumatic Narcolepsy Baumann, Christian R. Idiopathic Hypersomnia Khatami, Ramin Pages Treatment of Narcolepsy Lammers, G. Show next xx.