Narcolepsy is a sleep disorder. It causes bouts of sleep during the day. Sleep attacks can happen while you drive, talk, or work. They happen without control.
The cause isn’t known. It may be linked to problems with:
- Certain genes
- The immune system—it attacks certain cells in the brain
Narcolepsy is most common in people:
- Aged 10-20 years old
- With a family history
- With a history of certain strep infections
People often have at least 1 or more of:
- Excessive daytime sleepiness (EDS)—almost every day for at least 3 months
- Daytime sleep attacks—can happen many times during the day without control
- Muscles go limp without warning or you can’t move, even though you’re awake—cataplexy
- Brief times when you can’t move while waking up or falling asleep
- Vivid dreams that appear while waking up or falling asleep
- Poor sleep quality
- Problems with the sleep-wake cycle
- Feeling tired
Strong feelings, such as laughter, fear, or stress, often cause cataplexy.
|Brainstem—Area of Brain Related to Alertness|
|Copyright © Nucleus Medical Media, Inc.|
You will be asked about your symptoms and health history. You may have:
- A physical exam
- Polysomnography —studies brain waves and how your body works while you're asleep
- Multiple sleep latency test (MSLT)—to measure the degree of EDS you have
- A questionnaire about your EDS
Treating narcolepsy depends on the problems you have. Common methods are:
Medicines to help you:
- Stay alert during the day
- Manage your sleep cycle
- With certain prior strep infections
- Planning short naps throughout the day
- Therapy to cope with issues of self esteem
Narcolepsy Network https://narcolepsynetwork.org
National Sleep Foundation https://sleepfoundation.org
Better Sleep Council Canada https://www.bettersleep.ca
Canadian Sleep Society https://css-scs.ca
Bhat A, El Sohl AA. Management of narcolepsy. Expert Opin Pharmacotherapy. 2008;9(10):1721-1733.
Dauvilliers Y, Arnulf I, Mignot E. Narcolepsy with cataplexy. Lancet. 2007;369(9560):499-511.
Narcolepsy. EBSCO DynaMed Plus website. Available at: https://www.dynamed.com/topics/dmp~AN~T116132/Narcolepsy . Updated November 14, 2017. Accessed August 22, 2018.
Narcolepsy. National Sleep Foundation website. Available at: https://sleepfoundation.org/sleep-disorders-problems/narcolepsy-and-sleep. Accessed August 22, 2018.
Narcolepsy fact sheet. National Institute of Neurological Disorders and Stroke website. Available at: https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Narcolepsy-Fact-Sheet. Updated July 6, 2018. Accessed August 22, 2018.
- Reviewer: EBSCO Medical Review Board Marcin Chwistek, MD
- Review Date: 05/2018
- Update Date: 08/22/2018