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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes excessive sleepiness along with weakness in the body?

A 35-year-old male is admitted to a hospital following a minor car accident. He was driving home and fell asleep at the wheel. This is the third accident he has had in the past year. He also falls asleep regularly at work, at the dinner table, at church, and, in fact, anywhere. When he becomes excited or enraged, he suddenly becomes weak and falls. At night, he often has bizarre, terrifying dreams. During these dreams, he feels as if he were paralyzed. Based on the scenario given above, answer the following questions: Describe how a nerve impulse is transmitted from one neuron to the next. Compare the structure and functions of the CNS and PNS. What is the probable diagnosis for this man s condition? What parts of the person s brain could have been affected? What sleep state do these symptoms resemble? How would an electroencephalogram (EEG) look like during the sleep condition of this patient? What type of treatments (physical or chemical) would you prescribe for the patient?
Mon, 9 Jul 2018
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General Surgeon 's  Response
Hello and thanks for using HealthcareMagic.
I have read your question and understand your concerns.

In my opinion, thereis no reason to be worried and usually this is just temporary and self limiting. Excessive daytime sleepiness is common issues and should be considered in this case..
Excessive daytime sleepiness may be caused by conditions such sleep deprivation, metabolic disturbances, sleep apnoea, medications, neurological disorders such seizures and psychiatric disorders such depression. If emotional causes are ruled out then some tests can be done to confirm the diagnosis.

In my opinion, polysomnography ( sleep study ), is one of the necessary examinations in order to achieve a correct diagnosis.
Please discuss with primary care Doctor about these issues.

Hope you found the answer helpful.
Let me know if I can assist you further.

Take care.
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