Exercise-Induced Yawning and Sleep Attacks

A 59-year-old man developed recurrent attacks of yawning, fatigue, and sleepiness triggered by exercise of the right leg after an L4-5 disc herniation 8 years prior. This video illustrates his attacks: he has no symptoms walking at a speed of 5 km per hour for 5 minutes or walking sideways right leg first at 1.5 km per hour for 1.5 minutes (00:21), but increasing the incline to 3% (00:28) triggers an attack of yawning, fatigue, and sleepiness, forcing the patient to lie down. Click https://ja.ma/2qUsxyz for full details of the proposed mechanism and how the patient was managed.

Тэги:

#Neurology #Sleep #Sleep_Medicine #Yawning #Narcolepsy #Exercise #Treadmill #Fitness #Health #Medicine #FOAMed #Psychiatry

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