A 17-year-old female is suspected of having narcolepsy. Which of the following aspects of her medical history and sleep analysis would contribute to a confirmation of the diagnosis?
Select all that apply.
A)
She repeatedly moves her large toe, ankle, and knee during sleep.
B)
She complains of a powerful urge to move her legs when in bed at night.
C)
She has frequently awakened unable to move or speak.
D)
She believes that she experiences auditory hallucinations when she awakens.
E)
Her sleep latency is normally around 1 hour.
Ans:
C, D
Feedback:
Sleep paralysis and hypnopompic hallucinations are symptoms of narcolepsy. Repeated toe, ankle, and leg movements are associated with periodic limb movement disorder, while an urge to move her legs would suggest restless legs syndrome. Narcolepsy is not normally associated with long sleep latency periods.
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