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Narcolepsy: Understanding the Condition and Treatment Options

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What is Narcolepsy?

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Narcolepsy is a chronic neurological disorder that affects the brain’s ability to regulate sleep-wake cycles. It is characterized by excessive daytime sleepiness, sudden loss of muscle tone (cataplexy), sleep paralysis, and hallucinations. Individuals with narcolepsy often struggle with daily activities due to sudden and uncontrollable episodes of sleep.

 

Symptoms of Narcolepsy

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  • Excessive daytime sleepiness (EDS)

  • Sudden muscle weakness (cataplexy)

  • Sleep paralysis

  • Disrupted nighttime sleep

  • Hallucinations (while falling asleep or waking up)

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Causes and Diagnosis

 

Narcolepsy is often caused by a deficiency of hypocretin, a neurotransmitter that regulates wakefulness and REM sleep. Diagnosis involves:

  • Sleep studies (Polysomnography & Multiple Sleep Latency Test)

  • Neurological evaluation

  • Blood tests and genetic screening (if necessary)

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Comprehensive Treatment Approach

 

At our clinic, we provide a multidisciplinary approach to managing narcolepsy, integrating expertise from ENT specialists, pulmonologists, and clinical psychologists to ensure comprehensive care.

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Role of the ENT Specialist

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  • Evaluation and management of underlying sleep-disordered breathing, such as obstructive sleep apnea, which may exacerbate symptoms.

  • Surgical or non-surgical interventions for airway obstruction to improve sleep quality.

  • Management of associated nasal or throat conditions that impact restful sleep.

 

Role of the Pulmonologist

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  • Conducting sleep studies to diagnose sleep-related breathing disorders.

  • Managing respiratory conditions that may affect sleep quality.

  • Prescribing CPAP or BiPAP therapy if sleep apnea is present.

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Role of the Clinical Psychologist

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  • Cognitive Behavioral Therapy (CBT) to help manage sleep hygiene and lifestyle modifications.

  • Counseling for emotional and mental health support, addressing anxiety, depression, or stress related to narcolepsy.

  • Techniques to cope with cataplexy and improve daily functioning.

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Treatment Options

 

While there is no cure for narcolepsy, symptoms can be effectively managed with a combination of:

  • Medications: Stimulants, antidepressants, and sodium oxybate to regulate sleep-wake cycles.

  • Lifestyle Modifications: Maintaining a regular sleep schedule, scheduled naps, and avoiding caffeine or alcohol before bedtime.

  • Therapeutic Support: Sleep hygiene education and behavioral therapy to enhance quality of life.

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Why Choose Our Clinic?

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Our clinic offers a patient-centered approach to managing narcolepsy with a team of specialists working together to provide comprehensive and individualized care. Whether through medical treatment, therapy, or lifestyle guidance, we are dedicated to improving the well-being of individuals affected by narcolepsy.

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Dr Aiswarya Thambi,

Consultant Pulmonologist and Allergy specialist  

Dr Vidya Ramdas 

Consultant ENT Surgeon
and neuro-otologist

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Dr Salison Salim

ENT Surgeon and Director at RelentCare ENT clinic

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