PWSA Blog

a child with prader-willi syndrome and narcolepsy rests frustratingly next to a stack of books

Narcolepsy in PWS

Contributed by Justice Rickenbach

Ever since I can remember, I have been tired. Not the kind of tired you feel when you stay up too late or how you feel at the end of a busy day. The tired I feel is more like how you would feel if you were forced to stay awake for days. This feeling would keep me from doing most things and if I tried to go do anything fun, I would not be able to stay awake to enjoy them.

The really tired feeling was bad, but I would also lose control of all my muscles when I laughed or experienced strong emotions. I was fortunate that this happened to me in front of my neurologist. He took it very seriously and worked to find an answer. I was 5 when I was diagnosed with narcolepsy with cataplexy (type 1 narcolepsy).

Symptoms of narcolepsy are excessive daytime sleepiness, sleep paralysis, disrupted sleep, hallucinations around sleep, brain fog and cataplexy. While not everyone gets all of these symptoms people with narcolepsy may experience one or all of them. I am one of the lucky ones, I got all of them.

Cataplexy is one of the harder things I have dealt with. Cataplexy is hard to identify, it is often thought to be a seizure. The main difference between a seizure and cataplexy is that you remain conscious during a cataplexy attack. When I have a cataplexy episode; I can’t move but I can hear everything going on around me but can’t respond.

I think the hardest part of having narcolepsy is that I missed out on so much until we found the right medication. It wasn’t that I didn’t want to do things, my body physically couldn’t. I missed out on so much school and even when I was there the brain fog made it hard for me to learn.

Stress seems to be a big factor for me, I had so many cataplexy episodes at school because I was worried about having another episode at school. The school would panic and call an ambulance, the entire class would be interrupted. The thought of this happening caused me more stress which caused more episodes. I am grateful we were able to find the right medications to help with my symptoms. The symptoms are not completely gone but they are more under control.

I am fortunate that I got my diagnosis when I was young, not everyone gets that. There is no cure for narcolepsy and often the symptoms are overlooked. September 22 is World Narcolepsy Day. Take a few minutes to learn about this rare disease.

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