#Cataplexy laughter series#

We will need a referral from your physician before your appointment. Please call 73 to schedule a clinic visit. Laugh- ter-induced syncope is very similar to cataplexy, which is a component of, and highly specific to narcolepsy.6) Thus, laughter-induced syncope may be. We typically treat narcolepsy with a combination of medications and suggestions for changes in behavior.

#Cataplexy laughter series#

During the MSLT, you are monitored at the Sleep Laboratory and have a series of nap trials during the day. The MSLT is a daytime test that follows the overnight sleep study. Plazzi et al (2011) 5 pointed out that the laughter or joke was always the gold standard that induced hypotonia or muscular weakness, while anger was a less strong trigger evoking a cataplectic attack. A daytime naps test, called a multiple sleep latency test (MSLT).In order to be diagnosed, you will need to come to the University of Michigan Sleep Disorders Center for: Sudden onset of muscle weakness in response to laughter or strong emotion (called 'cataplexy').Sensation of dreaming while you are still awake (sleep-related hallucinations).Temporary inability to move when you wake up (called 'sleep paralysis').The fifth symptom-cataplexy-does not occur in all individuals with narcolepsy.

The first four symptoms do not automatically indicate narcolepsy. Approximately 1 in 4,000 people have narcolepsy, but the condition often goes undiagnosed. All rights reserved.If you fall asleep several times during the day-no matter how hard you try not to-you could have narcolepsy. Since inception of the concept there has been question about the appropriateness of the term 'giggle incontinence.' This review encourages discussion among readers/clinicians about the term and the essential qualities of the diagnosis.Įnuresis risoria Giggle incontinence Giggle micturition Laughter incontinence.Ĭopyright © 2017 Journal of Pediatric Urology Company. Some symptoms of narcolepsy depend on emotional stimuli for instance, cataplectic attacks can be triggered by emotional inputs such. This disease affects significantly the overall patient functioning, interfering with social, work, and affective life. Comprehensive treatment of children with laughter incontinence requires an appreciation of both concepts. Narcolepsy is a chronic sleep disorder characterized by excessive daytime sleepiness, cataplexy, hypnagogic hallucinations, and sleep paralysis. The second emphasizes urologic dysfunction, with biofeedback and bladder retraining as the recommended therapy. The usual triggers include laughter, crying and other high emotional state. BACKGROUND: Cataplexy, a hallmark symptom of narcolepsy, is typically triggered by strong emotional state. The first emphasizes the neurologic origin of the cascade of events during laughter and urination, and draws a likeness to cataplexy and other CNS disorders, and emphasizes treatment with methylphenidate. OBJECTIVE: To report a case of narcolepsy with the presenting symptom of orgasmolepsy. There is disagreement about the pathophysiology of laughter incontinence, with two differing explanations. This review provides a historical context for the diagnosis, a summary of what is known about its etiology, and a summary of current treatments. Decades of case studies and small research studies have formed the basis of what is known about giggle incontinence however, much remains unknown about this type of incontinence, leaving the recommendations for clinical management somewhat unguided.Ī systematic review of 22 articles on the topic of 'giggle incontinence' and related terms was conducted, including all published articles and commentaries since the term was first seen in print in 1959. Giggle incontinence is a sudden and involuntary episode of urinary incontinence that is provoked by an episode of laughter.