Get Rid Of Tiredness and Sleep Less
In summary, side-effects are mainly stimulation related, reversible and tend to decrease over time. They are usually mild to moderate and seldom require that the device be explanted. No idiosyncratic side-effects have ever been reported. Most adverse events are predictable and related to stimulation parameters. CNS side-effects such as tiredness, psychomotor slowing, irritation and nervousness have not been frequently reported and they do not stand out as major side-effects of VNS.
Daytime sleepiness was assessed in 30 adults with epilepsy using the MSLT (Drake et al., 1994). Of those, 23 subjects reported intermittent tiredness or difficulty sleeping and 20 described feelings of depression and irritability. Another 20 subjects reported feeling sleepy during some of the naps. A mean sleep latency of greater than 8 min was considered normal. The mean sleep latency was greater than 8 min in 10, between 5 and 8 min in 7, and less than 5 min in 3 of the 20 subjects reporting sleepiness. Of the patients who denied feeling sleepy during the test, two failed to sleep during the MSLT, 7 had a mean sleep latency greater than 8 min, and one had a mean sleep latency between 5 and 8 min. The mean sleep latency of the entire cohort was 8.4 min, which is suggestive of mild to moderate hypersomnia, using 10 min as a cutoff by conventional scoring standards (Carskadon et al., 1986). Pathological hypersomnia (mean sleep latency less than 5 min) was found in 10 of cases. Patients...
Daydreaming is associated with boredom, can be broken with stimulation, and is not associated with motor activity. Absence seizures, however, may sometimes be terminated with stimulation and tend to increase during periods of relaxation and tiredness. Tics and pseu-doseizures may need to be considered as well. A normal EEG that includes several trials of 3 to 5 minutes of hyperventilation, however, virtually rules out absence seizures. Repeated studies or prolonged monitoring occasionally are necessary when diagnostic confusion persists (85).
Morning sickness, nausea, occasional vomiting, tiredness, and exhaustion are common to about 70 of pregnant women. It is vital to manage morning sickness during your pregnancy, because vomiting can interfere with anti-epileptic drug intake, absorption, and compliance. Most nausea occurs during the first trimester and goes away during the second trimester. Morning sickness does not always happen in the morning. You can get morning sickness for no apparent reason, and at any time of day. For some women, it might last longer than the early stage of pregnancy. Some women experience morning sickness throughout the entire 9 months. No one understands exactly what causes morning sickness, but many factors are known to contribute to morning sickness, including low blood sugar, low blood pressure, hormonal changes, nutritional deficiencies (vitamin B6 and iron), nutritional excess (spicy, sugary, and refined foods), fatigue, and stress.
Cataplexy is usually triggered by emotions. A survey (Anic-Labat, 1998) of 300 narcoleptics indicated that laughter, feelings of amusement, or being tickled by oneself, repartee, or a joke induced cataplexy in 93 of the patients. Other emotions found to trigger cataplexy include anger (90 of patients), excitement and elation (82 ), surprise (61 ), athletic activities with an emotional content, such as winning or hitting a good shot (60 ), elation (59 ), response to a call for action (38 ), sexual intercourse (37 ), and embarrassment (36 ). Surprisingly, driving an automobile was reported to trigger cataplexy in less than 1 of the patients. Sleepiness and tiredness was cited as a trigger in 50 of the patients, and 36 of the patients said that in some attacks they could not identify the immediate trigger. A given individual usually reports several different triggers over time.
Cataplexy can precede the appearance of the other symptoms of the narcolepsy syndrome by months or even years. Most commonly the other symptoms are seen preceding the appearance of cataplexy or occur concomitantly with its development. The most common symptom is daytime sleepiness. Initially it may be referred to as hypersomnia, tiredness, and fatigue however, over time, the hypersomnolence becomes apparent, with the need to take short naps in the daytime to maintain vigilance to perform adequately at work or at school. Hypnagogic hallucinations, sleep paralysis, and automatic behavior are not pathognomonic of narcolepsy. They are seen in association with other sleep disorders and are also noted in the general population.
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