Narcolepsy Sleep Episodes: What Doesn't Happen?

Typical narcoleptic episode features:

  1. Cataplexy – Sudden muscle tone loss (triggered by emotion).
  2. Sleep paralysis – Inability to move/speak at sleep-wake transitions.
  3. Hypnagogic/hypnopompic hallucinations – Vivid dreamlike experiences.
  4. Excessive daytime sleepiness (EDS) – Overwhelming sleep urge.
  5. Fragmented nocturnal sleep (FNS) – Frequent night awakenings.

Sleep talking (somniloquy) does NOT typically occur during narcoleptic episodes. While parasomnias can coexist, they’re not core features.

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