9 Facts About Narcolepsy

Korrawin/iStock via Getty Images
Korrawin/iStock via Getty Images

Everyone experiences occasional daytime sleepiness, but just a small fraction of the population knows what it’s like to have narcolepsy. The disorder is defined by persistent drowsiness throughout the day, and in some cases, sleep paralysis, hallucinations, and the sudden loss of muscle control known as cataplexy. Having narcolepsy can make doing everyday activities difficult or dangerous for patients, but unlike some chronic conditions, it’s also easy to diagnose and treat. Here are some facts you should know about the condition.

1. There are two types of narcolepsy.

If everything you know about narcolepsy comes from movies and TV, you may think of it as the disease that causes people to go limp without warning. Sudden loss of muscle control is called cataplexy, and it’s the defining symptom of type 1 narcolepsy. Type 2 narcolepsy, on the other hand, is mainly characterized by fatigue. Losing motor function while awake isn’t a problem for those with type 2.

2. Type 1 narcolepsy stems from a chemical deficiency.

Almost every patient with type 1 narcolepsy has low levels of hypocretin. Hypocretin is a neurochemical that regulates the wake-sleep cycle. When there isn’t enough of this chemical in the brain, people have trouble staying conscious and alert throughout the day. Most people with the second, less severe type of narcolepsy have normal hypocretin levels, with about a third of them producing low or undetectable amounts. Type 2 narcoplepsy has been studied far less than type 1 of the disorder, and scientists are still figuring out what causes it.

3. The exact causes of narcolepsy aren’t always clear.

So why do some people’s brains produce less hypocretin than others? That part has been hard for scientists to figure out. One possible explanation is that certain autoimmune disorders cause the body to attack the healthy brain cells that make this chemical. This disorder can be the result of genetic and environmental factors. Although people with narcolepsy rarely pass it down to their offspring (this happens less than 1 percent of the time), the sleep condition does occasionally crop up in family clusters, suggesting there is sometimes a genetic component at play. Head trauma that impacts the area of the brain responsible for governing sleep can also lead to narcolepsy in rare cases.

4. There are tests to diagnose narcolepsy.

If patients believe they might have narcolepsy, their doctors might ask them to detail their sleep history and keep a record of their sleep habits. There are also a few tests potential narcoleptics can take to determine if they have the condition. During a polysomnography test, patients spend the night at a medical facility with electrodes attached to their heads to monitor their breathing, eye movement, and brain activity. A multiple sleep latency test is similar, except it gauges how long it takes patients to fall asleep during the day.

5. Strong emotions can trigger cataplexy.

Cataplectic spells can sometimes be predicted by triggers. In some patients, feeling strong emotions—whether they’re crying, laughing, angry, or stressed—is all it takes for them to lose muscle control. These triggers vary from patient to patient, and they can even affect the same person randomly. Some people deal with them by avoiding certain situations and closing themselves off emotionally, which can disrupt their social lives.

6. Narcolepsy can make sleep terrifying.

Narcoleptics don’t just worry about their disorder during their waking hours. When they’re trying to fall asleep at night or wake up in the morning, narcolepsy can complicate things. One symptom is experiencing vivid, dream-like hallucinations while transitioning in or out of consciousness. These visions are often scary and may involve an intruder in the room with the sleeper. If they happen as the patient falls asleep, the hallucinations are called hypnagogic, and if they occur as they wake up, they’re hypnopompic.

A related symptom is sleep paralysis. This happens when a person’s brain cuts off muscle control of their body before they’re fully asleep or as they’re waking up. This combined with hypnagogic or hypnopompic nightmares can cause frightening experiences that are sometimes confused for real encounters.

7. Narcoleptics sometimes do activities half-asleep.

To outside observers, narcolepsy is sometimes hard to spot. A narcoleptic patient overcome by sleepiness won’t necessarily pass out in the middle of what they’re doing. Some act out “automatic behavior,” which means they continue with their actions—whether that’s walking, driving, or typing—with limited consciousness. This can cause poor performance at work or school, and in worst case scenarios, accidents while driving a car or operating machinery.

8. Harriet Tubman may have had narcolepsy.

One of the most famous likely narcoleptics in history is Harriet Tubman. The African American abolitionist was known to suffer from what were probably sudden narcoleptic episodes. The condition may have stemmed from the severe head trauma she sustained when a slave master threw an iron at another slave and hit her instead. The injury left her with permanent brain damage: In addition to narcolepsy, she also experienced chronic seizures and migraines throughout her life.

9. Medications and lifestyle changes are common narcolepsy treatments.

Though there’s no way to cure narcolepsy completely, there are many treatment options available. Taking medication is one of the most common ways to manage the disorder. Stimulants such as modafinil and armodafinil can be used to combat mild sleepiness, while amphetamines are often prescribed for more severe forms of fatigue. For hallucinations and sleep paralysis, selective serotonin reuptake inhibitors and serotonin and norepinephrine reuptake inhibitors—drugs that suppress REM sleep—can help.

As an alternative or supplementary treatment to medications, doctors may recommend lifestyle changes. Sticking to a sleep schedule, exercising regularly, avoiding nicotine and alcohol, and taking naps during the day can all reduce the symptoms of narcolepsy.

Looking to Downsize? You Can Buy a 5-Room DIY Cabin on Amazon for Less Than $33,000

Five rooms of one's own.
Five rooms of one's own.
Allwood/Amazon

If you’ve already mastered DIY houses for birds and dogs, maybe it’s time you built one for yourself.

As Simplemost reports, there are a number of house kits that you can order on Amazon, and the Allwood Avalon Cabin Kit is one of the quaintest—and, at $32,990, most affordable—options. The 540-square-foot structure has enough space for a kitchen, a bathroom, a bedroom, and a sitting room—and there’s an additional 218-square-foot loft with the potential to be the coziest reading nook of all time.

You can opt for three larger rooms if you're willing to skip the kitchen and bathroom.Allwood/Amazon

The construction process might not be a great idea for someone who’s never picked up a hammer, but you don’t need an architectural degree to tackle it. Step-by-step instructions and all materials are included, so it’s a little like a high-level IKEA project. According to the Amazon listing, it takes two adults about a week to complete. Since the Nordic wood walls are reinforced with steel rods, the house can withstand winds up to 120 mph, and you can pay an extra $1000 to upgrade from double-glass windows and doors to triple-glass for added fortification.

Sadly, the cool ceiling lamp is not included.Allwood/Amazon

Though everything you need for the shell of the house comes in the kit, you will need to purchase whatever goes inside it: toilet, shower, sink, stove, insulation, and all other furnishings. You can also customize the blueprint to fit your own plans for the space; maybe, for example, you’re going to use the house as a small event venue, and you’d rather have two or three large, airy rooms and no kitchen or bedroom.

Intrigued? Find out more here.

[h/t Simplemost]

This article contains affiliate links to products selected by our editors. Mental Floss may receive a commission for purchases made through these links.

Road Trip! Why Traveling By Car Is the Safest Way to Vacation Right Now

A road trip may be the safest way to travel during a pandemic.
A road trip may be the safest way to travel during a pandemic.
Andie_Alpion/iStock via Getty Images

There’s no question that the threat of COVID-19 has had a significant effect on how Americans travel. Summer, which is typically vacation season, has seen millions cancel or postpone plans to traverse the country.

While travel by any means may increase your odds of coming in contact with the virus, some methods are safer than others. Recently, Condé Nast Traveler spoke with a number of health experts for guidance on how to approach vacations via air, train, or the highway. The general consensus? If you’re going somewhere, try to go by car.

Air travel presents a number of scenarios where risk of transmission increases. Passengers have to wait in long lines where physical distancing will be difficult. Once on a plane, they could be seated fewer than 6 feet from other passengers. While airplane cabins do have highly effective air filtration systems, being close to someone infected still presents the very real possibility of being exposed to germs. A lack of uniform regulations about masks and distancing for airlines also means that procedures for reducing the risk of transmission may or may not be observed.

It’s important to note, however, that a recent study by the Massachusetts Institute of Technology found that the risk of contracting COVID-19 from a passenger during a two-hour domestic flight is just 1 in 4300. If the middle seat is blocked off, thereby increasing the distance between travelers, the risk drops to 1 in 7700. While that doesn’t mitigate the risk of standing in long security screening lines indoors, it does indicate that air travel may not be inherently high-risk.

Travelers can further reduce the risk of infection if they opt to travel by train. In addition to having less congestion in passenger compartments than airplanes, lines usually form outdoors. But train trips also tend to be longer than flights, and the duration of exposure to someone infected can influence the risk of transmission.

So why is traveling by car superior? Unlike communal travel, cars afford a level of control. People can travel with members of their household with a known health history and don’t need to share space for extended periods with strangers. There is still risk in stopping and entering public spaces like restaurants, but physical distancing is more manageable in those scenarios than on a long-duration plane flight or train ride.

“If you have to—and can afford it—I think traveling by car is the safest option right now, in part because you’re not traveling with another person whose risk of infection may be unknown,” Chris Hendel, a medical researcher associated with the USC Gehr Family Center for Health Systems Science and Innovation, told Condé Nast Traveler. “Essentially you aren’t sharing the breathing space with someone who could be infected. But of course, one needs to be very cautious about stopping while traveling by car. I think train travel might possibly have an edge over air travel. Regardless, everyone should be wearing a mask on the train or in the plane.”

If you do decide on a road trip, it’s a good idea to limit exposure to others for 14 days prior to your departure so you reduce your chances of becoming infected before to your trip or transmitting the virus during it. When stopping to use a bathroom—often the riskiest portion of highway travel due to being in a confined space with others—try to find a single-occupancy restroom if possible and make sure you wear a mask. And eat somewhere with outdoor seating if you can. 

[h/t Condé Nast Traveler]