A 22-year-old woman has been feeling sleepier than usual since she was 10 years old, even though she wasn’t sleep deprived. Sometimes she would have auditory hallucinations, and eventually she developed narcolepsy because she fell asleep too easily.

On August 19, 2024, Facebook user Mormanoon Leechawengwong FC posted about a 22-year-old patient who had been more sleepy than usual since she was 10 years old, even though she had not been sleep deprived. However, she was very sleepy during the day and sometimes had auditory hallucinations and muscle weakness. The details are as follows:

          A 22-year-old female patient started to feel unusually sleepy since she was 10 years old, even though she had not been sleep deprived. She slept 8 hours a day. She was very sleepy during the day and had to accidentally fall asleep every day. After taking a nap, she woke up refreshed. Sometimes she had auditory hallucinations and hallucinations while waking up. She occasionally had weak leg muscles. She did not snore. /She did not take any regular medication and did not drive. *She weighed 48 kilograms and was 159 centimeters tall. Her blood pressure was 100/70. She had a normal physical examination. She

          underwent a sleep study in a sleep laboratory. She fell asleep in 4 minutes and her brain waves changed to REM sleep in just 1 minute (it takes about 90 minutes for a normal person to change their brain waves to REM sleep after falling asleep). No sleep apnea was found.

          After falling fully asleep, the next morning Daytime sleep was examined in a Multiple Sleep Latency Test (MSLT) laboratory. Patients were asked to take naps every 2 hours for 5 cycles from morning to afternoon. If they fell asleep, they were allowed to take only 15 minutes of naps and were then awakened. During the nap, brain waves, electromyography, and eye movements were examined. The patient fell asleep easily in all 5 cycles, taking less than 2 minutes from the time the lights went out until they fell asleep. Their brain waves changed to REM sleep in all 5 cycles within 1-8 minutes, which is considered abnormal and consistent with narcolepsy.

Diagnosis: Narcolepsy.

          Choose to give Nuvigil (Armodafinil) 150 milligrams in the morning once a day because the symptoms of muscle weakness when having emotions such as laughing occur infrequently and are not severe. After taking the drug, the patient is not sleepy. Then, he feels sleepy again at 5 pm after the drug wears off.

           Narcolepsy cannot be completely cured. There are many drugs that can help relieve the symptoms of the disease. Drugs that stimulate wakefulness such as Armodafinil have a stimulating effect on the central nervous system. It helps patients with narcolepsy wake up during the สมัคร ufabet day after taking the drug in the morning every day. The drowsiness improves. They do not fall asleep as easily as before. People with narcolepsy should not drive if they have not been treated. Because they may fall asleep while driving, which is dangerous for both the driver and other road users.