History of presenting illness
A taxi driver male presented to the clinic with excessive day time sleepiness. For the last 2 years he has had a tendency to fall asleep whilst he is reading, watching TV or sitting quietly. He reported that he fell asleep while driving too.
He sleeps 8 hrs at night and is unable to move upon wakening, like if he is paralysed as he mentioned.
Sometimes he wakes up at night with strong desire for smoking, like he was ordered to wake up to smoke.
Absent findings
No uncontrollable urge to move legs, No uncomfortable sensation in legs, No medication intake, No neurological diseases, No mood swings, No anhedonia, No sadness, No sudden palpitations, No sweating, No tachycardia, No social withdrawal, No vomiting, No diarrhea, No anorexia, No abdominal pain or discomfort, No chest pain, No cough, No weight loss, No fever, No head trauma, No staring spells, No involuntary muscle contractions.