Signs & Symptoms Pulmonology

Narcolepsy
Signs and Symptoms

The hallmark symptom of narcolepsy is an excessive daytime sleepiness (EDS), in which a person falls asleep at times when they want to be awake. EDS may include daytime sleep attacks that occur with or without warning, persistent drowsiness and fleeting moments of sleep that occur in between a person's waking state.

Other symptoms may include:

  • Cataplexy Most people with narcolepsy experience some degree of cataplexy, which is defined as a sudden loss of voluntary muscle control. An attack may involve only a slight feeling of weakness and limp muscles — such as sagging facial muscles, nodding head, buckling knees, loss of arm strength and garbled speech — or also may cause immediate total body collapse. These attacks are usually triggered by intense emotions, such as laughter, surprise, anger, stress and fear, and can last anywhere from a few seconds to thirty minutes.
  • Sleep Paralysis For a brief period when falling asleep or waking up, a person with narcolepsy may be unable to talk or move.
  • Hypnagogic Hallucinations These are defined as vivid, realistic and typically frightening dreams that occur when a person is falling asleep.
  • Automatic Behavior This occurs when familiar or routine tasks, such as making coffee in the morning, getting the paper and taking a shower, are performed without full memory or awareness of them.
  • Fragmented Nighttime Sleep In addition to having trouble with sleep during the day, people with narcolepsy also tend to sleep poorly at night, waking up often.

UCSF Health medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.

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