Cataplexy
From Ganfyd
Web Resources for Cataplexy
Relevant Clinical Literature
RCT with Cataplexy from Pubmed
UK Guidance
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Medpedia on Cataplexy (Less technical, good quality control)
Wikipedia on Cataplexy (Less technical, ? quality control)
Cataplexy is diagnostic of narcolepsy[1] and is caused by deficient hypocretin transmission and is characterised by:
- Sudden and transient (less than 2 minutes) loss of muscle tone
- Triggering by emotions (laughing or crying)
- Usually bilateral and all striated muscles but may be limited especially to head and neck or dysarthria
- Deep tendon reflexes abolished during attack
- Worsens with sleep deprivation
Differential diagnosis
Treatment
- Sodium oxybate[2]
- Tricyclic antidepressants
- Selective serotonin reuptake inhibitors
- Serotonin noradrenergic reuptake inhibitors eg Venlafaxine
- Mazindol
- Selegiline
References
- ↑ Dauvilliers T,Arnulf I,Mignot E. Narcolepsy with cataplexy. The Lancet 2007; 369:499-511 link requires registration
- ↑ Billiard M, Bassetti C, Dauvilliers Y, Dolenc-Groselj L, Lammers GJ, Mayer G, Pollmacher T, Reading P, Sonka K; EFNS Task Force. EFNS guidelines on management of narcolepsy. Eur J Neurol. 2006;13(10):1035-48

