Neuro Sleep Flashcards
(9 cards)
First line therapy for insomnia
CBT
What is insomnia
Difficulty falling and staying asleep
> 3 days a week for > 3 months
Circadian rhythm disorder
Different 24h rhythm to everyone else
Treatment for circadian rhythm disorder
Sleep diary
Sleep hygiene
Low dose melatonin
What is cataplexy
Sudden transient loss of muscle tone or strength due to strong emotions
Narcolepsy flip flop switch
Orexin / hypocretin keeps you awake during the day intermittently lost in narcolepsy making you flip from wake to sleep
Sleep paralysis
Abrupt awakening from REM before muscle tone restored with dream like hallucinations
What meds may disrupt REM
B blockers
Narcolepsy who does it affect
<40 year old
Onset avg 14 year old
1 in 1000