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Sympathetic and cardiovascular activity during cataplexy in narcolepsy
Author(s) -
DONADIO VINCENZO,
PLAZZI GIUSEPPE,
VANDI STEFANO,
FRANCESCHINI CHRISTIAN,
KARLSSON TOMAS,
MONTAGNA PASQUALE,
VETRUGNO ROBERTO,
BUGIARDINI ENRICO,
MIGNOT EMMANUEL,
LIGUORI ROCCO
Publication year - 2008
Publication title -
journal of sleep research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.297
H-Index - 117
eISSN - 1365-2869
pISSN - 0962-1105
DOI - 10.1111/j.1365-2869.2008.00682.x
Subject(s) - cataplexy , microneurography , narcolepsy , autonomic nervous system , heart rate , medicine , anesthesia , apnea , psychology , vigilance (psychology) , sympathetic nervous system , blood pressure , cardiology , baroreflex , neuroscience , neurology
Summary Autonomic nervous system activity changes have been described during cataplexy as playing a role in triggering it. To confirm these previous findings, we investigated the time course of sympathetic and cardiovascular activities during cataplexy. We made for the first time microneurographic recordings of 10 cataplectic episodes in three patients with hypocretin‐deficient narcolepsy. During microneurography, muscle sympathetic nerve activity (MSNA) was recorded simultaneously with heart rate (HR), respiratory movements, arterial finger blood pressure (BP), electroencephalography, electro‐oculogram and superficial electromyogram. Results showed no significant autonomic changes before the onset of the cataplectic episodes. Cataplexy was associated with a significant increase in MSNA and BP compared with baseline, whereas HR was markedly decreased. An irregular breathing pattern mainly characterized by apnea typically occurred during the attacks. In conclusion, our findings did not show significant changes in autonomic activity prior to cataplexy onset, ruling out a triggering role of the autonomic system. However, cataplexy was associated with co‐activation of sympathetic and parasympathetic autonomic systems, a pattern reminiscent of that reported during the vigilance reaction in animals.