Cataplexy

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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

References

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