![]() ![]() It was obnoxious and many people glared their way. While studying in the library one evening, students at a nearby table were talking WAY too loudly. This is the only trigger I’ve somewhat found a way around. I cannot say one thing while thinking another. I responded “Oh, no problem.” but really I’m thinking “It’s NOT okay! Get with it.” – my body crumbles. Lying – “Sorry I forgot to take out the trash,” my roommate said. The anticipation of Alex thinking my brother’s card was funny hit the cataplexy button.ħ. Last week, my brother sent me a funny greeting card that made me giggle but WITHOUT cataplexy, until I tried to show the card to my boyfriend. Communicating my joke with the anticipation of others laughing = worst cataplexy ever. I’m SO funny! When I think I’m funny, watch out. Once I regained muscle tone, I ate the package in one sitting.Ħ. I tried opening the pack but my body became a gummy bear momentarily, slumping onto the floor. Gummy Bears – I am a gummy bear addict, so when my boyfriend gave me a pack of HARIBO one evening, I felt pure bliss. #Cataplexy attacks pdfIt took about 5 minutes to communicate to my friend through fits of cataplexy to take my phone and open PDF to find out what place I won – my photo won first place!ĥ. Collapsed with jaw unhinged, eyes closed. After composing myself, I reached for my phone again and read “You are a Winner of the 2011 FotoWeek DC International Awards Competition! Please check Winners’ PDF to see the list of winning work.” Dropped phone again. Winning – I checked my email on my phone: “Congratulations – You are a Winner!!!” Reading this subject heading, I dropped my phone into my purse. #Cataplexy attacks movieleaving the movie theater or mall in the summertime.Ĥ. ![]() Heat and Humidity – Extreme heat triggers my cataplexy, especially going from air-conditioned environments into extreme heat – i.e. I may seem insensitive to ignore a homeless person asking for money, but muttering “Sorry” would cause terrible cataplexy.ģ. ![]() Please do not speak to me.” I don’t know why but interacting with strangers on the street is a HUGE trigger. ![]() Strangers – “Please do not ask for money. It’s something about the direct contact that’s too social/personal – “the bug versus me”. However, I can kill a bug from a distance, spraying a cleaning spray in its direction. I cannot make direct contact with an insect. My body was frozen like a dear in headlights while I watched the ant successfully cross the counter. I grabbed a paper-towel to squash it, but when I re-focused on the ant to kill it, I began teetering like the Leaning Tower of Pisa. Killing a bug – An itsy-bitsy ant crawled on my stove as I boiled water for pasta. It’s not always strong or positive emotions that cause my cataplexy. With medication, my full-body attacks are once every couple weeks. Video recording of suspected cataplexy attacks allows the identification of positive clinical signs useful for diagnosis and, possibly in the future, for severity assessment.Cataplexy is a fascinating symptom of narcolepsy – a sudden loss of muscle tone, without loss of consciousness, often triggered by emotions. I experience minor cataplexy daily – knees buckling, jaw slackening, eyes fluttering or hands trembling. Conclusions: Cataplexy is characterized by abrupt facial involvement during laughter behavior. Self-reported features confirmed the important role of positive emotions (laughter, telling a joke) in triggering the attacks, as well as the more frequent occurrence of partial body involvement in cataplexy compared with pseudocataplexy. Conversely, generalized pseudocataplexy is associated with persistence of deep tendon reflexes during the attack. Facial involvement is present in both partial and generalized cataplexy. smile, facial expression) and postural control (head drops, trunk fall) under clear emotional trigger. Results: Video-recorded cataplexy can be positively differentiated from pseudocataplexy by the occurrence of facial hypotonia (ptosis, mouth opening, tongue protrusion) intermingled by jerks and grimaces abruptly interrupting laughter behavior (i.e. Video documented and self-reported attack features of cataplexy and pseudocataplexy were contrasted. Methods: We selected 30 video-recorded cataplexy and 21 pseudocataplexy attacks in 17 and 10 patients evaluated for suspected narcolepsy and with final diagnosis of narcolepsy type 1 and conversion disorder, respectively, together with self-reported attacks features, and asked expert neurologists to blindly evaluate the motor features of the attacks. Abstract : Study Objectives: To describe the motor pattern of cataplexy and to determine its phenomenological differences from pseudocataplexy in the differential diagnosis of episodic falls. ![]()
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