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Neurology

Expert answers from Neurology physicians on health concerns and treatment options

Questions & Answers

809 articles

Q

What have brain imaging studies revealed about narcolepsy?

Brain imaging studies have shown that people with narcolepsy have changes in certain brain areas, especially those involved in regulating sleep and alertness.

Q

What is cataplexy, and why do strong emotions cause muscle weakness?

Cataplexy is a sudden loss of muscle strength triggered by strong emotions like laughter or surprise. This happens because certain brain areas respond differently to emotions, affecting muscle control.

Q

What is the connection between sleep paralysis and narcolepsy?

Sleep paralysis is a common symptom of narcolepsy, which is a long-term sleep disorder that affects how people sleep and feel awake.

Q

What medications are most commonly used for narcolepsy?

The most common medications for narcolepsy include stimulants like modafinil and amphetamines, as well as sodium oxybate for managing symptoms.

Q

What role does hypocretin play in narcolepsy?

Hypocretin, also known as orexin, is a brain chemical that helps keep us awake. In people with narcolepsy, there is often a lack of hypocretin, which leads to symptoms like excessive daytime sleepiness and sudden muscle weakness called cataplexy.

Q

What side effects should patients watch for when taking narcolepsy medications?

Narcolepsy medications can cause side effects like dizziness, nausea, and headaches. It's important to monitor these effects and talk to a healthcare provider if they occur.

Q

What signs of narcolepsy should parents watch for in children?

Parents should watch for sudden sleep attacks, excessive daytime sleepiness, and unusual sleep patterns in children as signs of narcolepsy.

Q

Why do people with narcolepsy suddenly fall asleep?

People with narcolepsy suddenly fall asleep because their brain has trouble controlling sleep and wake cycles due to a problem with certain chemicals.

Q

Can dehydration or constipation trigger defecation syncope?

Dehydration and constipation can contribute to defecation syncope because they may lower blood pressure or strain the body, leading to fainting during bowel movements. See below to understand more.

Q

How can I tell if my lightheadedness while pooping is defecation syncope or something else?

Lightheadedness while pooping might be defecation syncope, which happens when you faint due to changes in blood flow. Other causes could be related to different health issues, so it's important to talk to a doctor if you're worried. See below to understand more.

Q

Should people with defecation syncope see a cardiologist or a neurologist?

People with defecation syncope should consider seeing a neurologist, as this condition may involve issues related to the nervous system. See below to understand more.

Q

Are new treatments being developed for narcolepsy type 2 or idiopathic hypersomnia?

Yes, new treatments are being developed for narcolepsy type 2 and idiopathic hypersomnia, focusing on improving wakefulness and managing symptoms better.

Q

Are there medications to treat narcolepsy symptoms?

Yes, there are medications available to help manage the symptoms of narcolepsy, including excessive daytime sleepiness and cataplexy.

Q

Can narcolepsy be triggered by infections like strep throat?

Some studies suggest that infections like strep throat might trigger narcolepsy, but more research is needed to understand this connection.

Q

Do new narcolepsy drugs improve fatigue and cognitive function?

New drugs for narcolepsy, like modafinil, can help reduce tiredness and improve thinking skills.

Q

How can people with narcolepsy manage their condition?

People with narcolepsy can manage their condition with a combination of medications, lifestyle changes, and support from healthcare providers.

Q

How common is narcolepsy in the United States?

Narcolepsy is a rare sleep disorder in the United States, affecting a small number of people.

Q

How do new narcolepsy treatments affect abnormal REM sleep?

New treatments for narcolepsy, like selegiline and sodium oxybate, can help improve abnormal REM sleep patterns by reducing disruptions and improving sleep quality.

Q

How do new orexin agonists compare to traditional narcolepsy stimulants?

New orexin agonists for narcolepsy, like danavorexton, target specific brain receptors differently than traditional stimulants, which may offer new benefits and fewer side effects.

Q

How do orexin receptor agonists work for narcolepsy?

Orexin receptor agonists help people with narcolepsy stay awake by activating certain brain receptors that promote wakefulness.

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