Treatment FAQ

treatment for catalepsy when caused by extreme emotions

by Jackie King V Published 2 years ago Updated 1 year ago

Rarely, extreme emotions can cause catalepsy. Treatment for Catalepsy Treatment typically focuses on ameliorating underlying neurological causes of the disorder. Muscle relaxants may be effective for some people with catalepsy.

Full Answer

Is there a cure for catalepsy?

Rarely, extreme emotions can cause catalepsy. Treatment typically focuses on ameliorating underlying neurological causes of the disorder. Muscle relaxants may be effective for some people with catalepsy. When catalepsy is caused by drug withdrawal, people typically return to normal after several days or weeks.

How is cataplexy treated?

How Is Cataplexy Treated? Although the loss of hypocretin associated with cataplexy is irreversible, treatment can help to decrease episodes of cataplexy for many people. Treatment depends on the underlying cause of cataplexy, and may include medications such as antidepressants or sodium oxybate 13.

What are the causes of catalepsy?

Causes of Catalepsy. Catalepsy is a symptom of neurological disorders such as Parkinson’s disease and epilepsy. Withdrawal from some drugs, particularly cocaine, may also cause catalepsy.

Is it catalepsy or cataplexy?

Catalepsy should not be confused with... The catalepsy must be distinguished from the terms Cataplexy, Catatonia or narcolepsy. The Cataplexy or cataplexy Is distinguished by sudden and brief episodes of loss of muscle tone that causes the person to collapse on the floor. In cataplexy, consciousness remains totally lucid.

What is the treatment for catalepsy?

Antipsychotic medications: If catalepsy is connected to a psychotic disorder such as schizophrenia or catatonia, an antipsychotic medication may be prescribed. Muscle relaxants: Some people may find that muscle relaxants help reduce the muscle, limb, and postural rigidity caused by catalepsy.

Why do emotions trigger cataplexy?

The hypocretin neurons project widely throughout the central nervous system, including the spinal cord. Hypocretin 1 deficiency appears to play a permissive role, allowing certain emotional states to cause rapid shifts in downstream neurotransmitters, which results in cataplexy.

Is cataplexy life threatening?

The loss of muscle tone during cataplexy resembles paralysis of muscle activity that naturally occurs during REM sleep. Episodes last a few minutes at most and resolve almost instantly on their own. While scary, the episodes are not dangerous as long as the individual finds a safe place in which to collapse.

How long do cataplexy attacks last?

Strong emotions, such as laughter or anger, can trigger cataplexy. Attacks often last from 30 seconds to 2 minutes. You remain aware during the attack. During the attack, your head falls forward, your jaw drops, and your knees may buckle.

Can emotional trauma cause narcolepsy?

Central nervous system disorders such as tumors and vascular legions involving the hypothalamus can cause secondary narcolepsy. In addition, brain trauma can contribute to post-traumatic narcolepsy despite lack of any definite brain lesion.

Is cataplexy always triggered by emotions?

Cataplexy is a sudden muscle weakness that occurs while a person is awake. Strong emotions trigger cataplexy 1. The triggering experiences are usually positive, like laughter, witty conversations, and pleasant surprise. Episodes may also be triggered by anger, but rarely by stress, fear, or physical exertion.

What happens in the brain during cataplexy?

Cataplexy is a brain disorder that causes a sudden and temporary loss of muscle tone and control, according to the National Institute of Neurological Disorders and Stroke (NINDS).

What mimics cataplexy?

Cataplexy mimics include syncope, epilepsy, hyperekplexia, drop attacks and pseudocataplexy. They can be differentiated from cataplexy using thorough history taking, supplemented with (home)video recordings whenever possible.

What does cataplexy feel like?

Cataplexy is sudden muscle weakness triggered by strong emotions like embarrassment, laughter, surprise, or anger. Cataplexy can cause your head to drop, your face to droop, your jaw to weaken, or your knees to give way. Attacks can also affect your whole body and cause you to fall down.

Can cataplexy worsen?

Many people report that their cataplexy becomes less severe over time, but these cases could be attributed to changes in behavior or medication compliance, and it's still debated whether there is a natural evolution of cataplexy over a person's lifetime.

Is cataplexy a disability?

Your Legal Rights. Narcolepsy is a recognized disability under the Americans with Disabilities Act. Under this law, your employer must make reasonable accommodations, like letting you adjust your schedule or take brief rest breaks, to deal with your narcolepsy symptoms.

Can cataplexy affect breathing?

These results provide evidence consistent with impaired control of breathing during sleep and of oxygen saturation in patients with narcolepsy–cataplexy.

What region of the brain triggers cataplexy?

Ongoing research is also beginning to reveal how cataplexy may be triggered by positive emotions. The amygdala and prefrontal cortex are brain regions that regulate emotional responses and connect with the paralysis pathways in the brainstem.

What does mild cataplexy feel like?

Cataplexy happens when your muscles suddenly go limp or significantly weaken without warning. You may experience cataplexy when you feel a strong emotion or emotional sensation. This can include crying, laughing, or feeling angry. You may find yourself falling over or losing control over your facial expressions.

Can cataplexy occur without narcolepsy?

In very rare cases, cataplexy has been reported in individuals without narcolepsy, notes past research. Living with cataplexy is challenging. You cannot always control your emotions or emotional response, so cataplectic attacks can occur randomly.

Does cataplexy worsen with age?

Many people report that their cataplexy becomes less severe over time, but these cases could be attributed to changes in behavior or medication compliance, and it's still debated whether there is a natural evolution of cataplexy over a person's lifetime.

What is cataplexy in psychology?

Cataplexy is a sudden loss of muscle control. Trusted Source. , typically on both sides of the body, triggered by strong, often pleasant emotions. Laughter is the most typical trigger, but other triggers may include happiness, excitement, annoyance, surprise, fear, or a stressful event.

How often does cataplexy occur?

On average, a person with cataplexy will experience one or more episodes each. week.

How long does a cataplexy attack last?

The duration of a cataplexy attack is brief, generally lasting anywhere from a few seconds to a few minutes. Trusted Source. — usually less than 2 minutes — followed by a rapid return of normal muscle tone and function.

What is the name of the sudden loss of muscle tone triggered by strong emotions?

Symptoms. Diagnosis. Treatment and prevention. Cataplexy is a sudden, brief loss of voluntary muscle tone triggered by strong emotions such as laughter. The condition is most commonly associated with narcolepsy, a sleep disorder that is thought to affect between 135,000 and 200,000 people in the United States.

What is a sleep study for cataplexy?

Individuals who have EDS or symptoms of cataplexy should see their medical provider. A sleep study (a polysomnogram) will most likely be ordered by the provider, followed by a Multiple Sleep Latency Test (MSLT), a series of five naps scheduled to be taken over the course of a day .

When does narcolepsy start?

Symptoms. Symptoms of cataplexy associated with narcolepsy often begin in childhood and young adulthood, between the ages of 7 and 25 years, but it can start at any time. Cataplectic attacks can vary widely. They may be mild and barely noticeable or severe with full body collapse.

Can cataplexy be a seizure?

A more severe episode may involve a total body collapse. Although it is a different condition, cataplexy is sometimes misdiagnosed as a seizure disorder.

How is cataplexy diagnosed?

Cataplexy is usually diagnosed based on an interview with patients and their families 10. In an interview, doctors are looking for the classic signs of cataplexy. A doctor may ask about how often a person experiences episodes and how long they last, triggering events, and which muscles are affected.

What causes cataplexy?

Episodes may also be triggered by anger, but rarely by stress, fear, or physical exertion. Episodes of cataplexy can vary in severity. Less severe episodes involve momentary sensations of weakness in a few muscles, while more severe episodes involve a total loss of voluntary muscle control.

How many types of narcolepsy are there?

There are two major types of narcolepsy: type 1 and type 2 2, differentiated by whether or not a person experiences cataplexy. People diagnosed with type 1 narcolepsy experience episodes of cataplexy, while people with type 2 narcolepsy do not. For people with type 1 narcolepsy, episodes of cataplexy typically begin after the onset ...

What is Angelman syndrome?

Angelman Syndrome: This genetic disorder affects the nervous system 8, leading to intellectual disability, speech impairment, and problems with movement and balance. Cataplexy has been reported in many children with this disorder. Strokes, brain tumors, inflammatory processes of the brain that injure orexin neurons.

Why do people with narcolepsy lose orexin?

Brain injury: Some people with type 1 narcolepsy lose orexin-containing brain cells due to brain injuries, tumors, and other acquired diseases. Cataplexy isn’t always linked to narcolepsy. Around 30% of cataplexy episodes are related to other disorders 5, including:

What is the condition that causes cataplexy 7?

Prader-Willi Syndrome: Prader-Willi syndrome is a genetic condition that begins in childhood, leading to early feeding challenges, delayed growth and development, and an insatiable appetite. In this condition, both excitement and food may cause cataplexy 7.

How does cataplexy look in children?

Cataplexy may look different in children compared to adults 11. Children often show symptoms in their gait, or style of walking, and have attacks that involve the muscles of the face. Episodes in children may not be triggered by emotional events.

How long does it take for catalepsy to go away?

Muscle relaxants may be effective for some people with catalepsy. When catalepsy is caused by drug withdrawal, people typically return to normal after several days or weeks.

Can cocaine cause catalepsy?

Withdrawal from some drugs, particularly cocaine, may also cause catalepsy. Antipsychotic medications may also cause catalepsy–catalepsy is one of many side effects that interfere with people with schizophrenia’s willingness to take their medication. Rarely, extreme emotions can cause catalepsy.

Does catalepsy go away on its own?

When catalepsy is caused by shock, extreme emotion or trauma, it usually goes away on its own. If it persists for an extended period of time, however, antipsychotic medications in conjunction with psychotherapy may help remedy the underlying cause. Catalepsy in Popular Culture.

Is catalepsy a symptom of Parkinson's disease?

However, it typically has an underlying physiological cause and does not cause stereotyped movements. Catalepsy is a symptom of neurological disorders such as Parkinson’s disease and epi lepsy.

The Likelihood of Developing Catalepsy

Catalepsy is more likely to develop in individuals who are usually under stress or anxiety.

Potential Causes

Catalepsy is usually caused by a lack of hypocretin in the brain. This is what helps keep you awake.

Symptoms Profile of Catalepsy

Catalepsy is usually recognizable in children and adolescents. Many people might not be aware of the symptoms until they reach adulthood.

Helpful resources

If you are interested in understanding how people cope with catalepsy, you should consider reading “ Rolling A Path:: My Narcolepsy, Skateboarding, Cataplexy and Lifestyle “.

FAQs

Yes. Narcolepsy is a disorder that causes weakness, sleepiness, as well as fatigue.

Some Causes of Catalepsy

When a person suffers from an episode of catalepsy, it is usually a sign of a greater condition , since by itself it is not a disease, but an effect or symptom, mainly of pathologies that involve the nervous system, including epilepsy and the disease of Parkinson .

Main symptoms of catalepsy

Before developing an episode of catalepsy, you may have anxiety, fatigue, and back pain . On the other hand, it is not uncommon that, after one of these episodes, one comes to think that the person has died due to the state in which they are; however, this is not the case and it is important to know the symptoms of catalepsy. Mainly it is observed:

Treatment to combat catalepsy

Once the person develops the cataleptic episode, they must undergo electroencephalogram or electrocardiogram examinations , especially if it lasts for a long time, so that the doctor can correctly diagnose this condition and rule out the death of the patient.

What is the best medication for cataplexy?

Common medications for cataplexy (with or without narcolepsy) include: selective serotonin uptake reinhibitors (SSRIs), another type of antidepressant, such as fluoxetine (Prozac) or venlafaxine (Effexor XR) so dium oxy bate (Xyrem), which can help with both cataplexy and sleepiness during the day.

What does it mean when you feel a cataplexy?

You may experience cataplexy when you feel a strong emotion or emotional sensation. This can include crying, laughing, or feeling angry. You may find yourself falling over or losing control over your facial expressions.

What is the condition that causes extreme sleepiness during the day?

Cataplexy is associated with narcolepsy. Narcolepsy is a neurological condition that causes extreme sleepiness during the day. You can also have unexpected episodes of falling asleep, even in the middle of a conversation or in the middle of an activity. Other common symptoms of narcolepsy include:

What causes narcolepsy with cataplexy?

Other risk factors and causes of narcolepsy with cataplexy include: traumatic head or brain injuries. tumors or growths near areas of your brain that control sleep. autoimmune conditions, which may cause your immune system to attack the brain cells that contain hypocretin. infections, such as swine flu (H1N1 virus), ...

How many people have narcolepsy?

Other common symptoms of narcolepsy include: hallucinations when waking up in the middle of the night (hypnopompic hallucinations) However, only about 1 in 2000 people have narcolepsy in the world, and those with cataplexy are even less common.

Does narcolepsy cause cataplexy?

If you have narcolepsy with cataplexy, your brain doesn’t have enough hypocretin (orexin). This brain chemical helps keep you awake and controls your rapid eye movement (REM) sleep cycle. Other parts of your brain that control your sleep cycle are also thought to play a role in causing narcolepsy with cataplexy.

When do you notice a cataplexy?

This is usually when you enter college, the workforce, or other new, potentially stressful environments. Some possible symptoms of cataplexy episodes include: Cataplexy is often mistaken for a seizure when it’s more severe.

What causes catalepsy?

Causes of catalepsy. Catalepsy has multiple causes and is associated with a variety of conditions. What is known is that it is produced by alterations in physiological mechanisms of the organism. In particular, it is associated with diseases that affect Basal ganglia And extrapyramidal pathways. Therefore, this condition may present as a symptom ...

What is catalepsy symptom?

The catalepsy Is a disorder of the central nervous system characterized by a momentary and involuntary loss of mobility, the patient adopting a rigid posture. Consciousness may be intact, or altered to varying degrees. For example, the individual may feel that he is unable to move his body or ask for help, ...

How long does it take for catalepsy to stop?

Thus, if it is due to drug abuse or drug effects, it is best to discontinue the administration of these as soon as possible and catalepsy will cease within a few days. When it is a consequence of mental illness, it requires psychological and / or psychiatric care as soon as possible.

What are the risk factors for catalepsy?

Risk factors that may increase the likelihood of catalepsy are: abstinence from psycho stimulants after having used them chronically, Selective Serotonin Reuptake Inhibitors (SS RIs) And stress (if susceptible to catalepsy).

Where is catalepsy found?

Specifically, it is located on a fragment of chromosome 13, which contains the serotoninergic 5HT1A receptor gene. In other cases, it is said that catalepsy can occur after a very strong emotional shock, although it is not entirely clear why.

Why is it important to move muscles during catalepsy?

It will be necessary to move the muscles of this one to avoid problems of circulation , as well as to change of position to the affected one from time to time.

Where does the word "catalepsy" come from?

The word catalepsia comes from the medieval Latin catalēpsia, which in turn comes from the Greek katalepsis, which means"to grasp"or"grasp.". During catalepsy, the body is immobile and does not respond to stimuli, with limbs flaccid or rigid.

How to tell if you have catatonia?

For a doctor to diagnose catatonia, the person must have at least three of the following 12 symptoms: Agitation, or anxiety or restlessness. Catalepsy, or being in a trance-like state.

What are the symptoms of catatonic depression?

A person with catatonic depression will probably also experience classic depression symptoms, such as feeling low or sad.

What does catatonia mean?

The word catatonia comes from two Greek terms, kata, which means down, and tonas, which means tension or tone. In this article, learn about the symptoms of catatonic depression, as well as treatment options and how to cope.

What is the medical term for a person who is low in mood?

Depression or major depressive disorder is a medical condition that causes a person to experience a very low mood. Sometimes, depression can be accompanied by catatonia, which is when a person does not respond to the world around them.

What causes depression?

Depression can be due to a combination of several factors, including: 1 changes in brain structure or functioning, which may make the brain less responsive to certain hormones 2 a family history of depression or other mental health conditions 3 significant life changes, such as the death of a loved one or a divorce 4 additional medical conditions, such as problems sleeping, chronic pain, chronic illness, or attention-deficit hyperactivity disorder

What is the brain's response to mood?

Dopamine is a neurotransmitter in the brain associated with mood. Depression can be due to a combination of several factors, including: changes in brain structure or functioning, which may make the brain less responsive to certain hormones. a family history of depression or other mental health conditions.

What is the opposite of a person's emotions?

Mutism, or the inability or refusal to speak. Negativism, or adopting behaviors that are the opposite of their emotions. For example, feeling hungry but refusing to eat. Posturing, such as adopting a rigid or unnatural posture, often for extended time periods.

What is the cause of catalepsy?

Catalepsy is a symptom of certain nervous disorders or conditions such as Parkinson's disease and epilepsy. It is also a characteristic symptom of cocaine withdrawal , as well as one of the features of catatonia. It can be caused by schizophrenia treatment with anti-psychotics, such as haloperidol, and by the anesthetic ketamine. Protein kinase A has been suggested as a mediator of cataleptic behavior. Unsuggested waxy catalepsy, sometimes accompanied by spontaneous anesthesia, is seen as an indicator of hypnotic trance. Suggested or induced rigid catalepsy, of extended limbs or even the entire body, sometimes tested with heavy weights, has been a staple of stage hypnosis shows and even academic demonstrations of hypnotism since the late 18th century, as proof of extraordinary physical abilities possible in trance states. Such demonstrations have also been performed by Asian martial artists to prove the presence of "ki" or "chi" power, a kind of psychological or spiritual resource.

What are the symptoms of catalepsy?

Symptoms include a rigid body, rigid limbs, limbs staying in same position when moved ( waxy flexibility ), no response, loss of muscle control, and slowing down of bodily functions, such as breathing.

Who said you are a louse-brained catalept?

In Charles Williams 's novel Many Dimensions, Sir Giles Tumulty says to Lord Arglay, the Chief Justice of England: "You are a louse-brained catalept, Arglay.".

Exactly What Is Catalepsy?

The Likelihood of Developing Catalepsy

Potential Causes

Symptoms Profile of Catalepsy

Possible Treatment Options

  • Luckily for you, catalepsy is usually manageable. Although it may not be permanently cured, some methods can help significantly reduce the symptoms. These include both physiological cures as well as medication. Your doctor may recommend medication if you are at risk of getting injured due to paralysis or sudden sleep episodes. Many doctors will pre...
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