Brain lesions and excessive sleepiness.

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Okay I have to admit neurology is my weak point in nursing. I know my basics but I come here as favor asking advice regarding everyone's experience in a dx. A person has been found with brain lesions around the occipital area. The doctors are still working to figure out a final cause however this person constantly falls asleep even standing up and in mid conversation;pretty much like narcolepsy. In everyone's experience could the sleep problems be potentially related to the lesions?

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Specializes in Cath lab, acute, community.

I would wonder if this "sleeping in mid sentence" is related to a seizure? Has the patient had an EEG? It's odd that that occurs. Lesions can cause epileptic-like seizures.

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Narcolepsy does not cause you to fall asleep mid sentence.

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Specializes in Pedi.

Seizures or increased ICP. If the person is having mild seizures, he may be post-ictal when he falls asleep. When I had seizures, I would sometimes wake up and have no idea how I got to bed. The post-ictal period can be characterized by disorientation and lethargy. Increased ICP can affect level of consciousness.

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