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Fatal familial insomnia
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Wed Apr 11 2001 at 11:44:34
Fatal familial insomnia, or FFI, is a
degenerative
brain
disease
that is
genetically
inherited. The actual disease is caused by a
prion
protein that is manufactured by the body and
degrades
the
thalamus
(which controls sleep). It was first described in 1986 and is fairly rare.
The average age of onset is 49. The disease begins with
insomnia
that gets progressively worse as the disease advances. As the
thalamus
degrades further the
insomnia
gets more severe, leading to things such as shortness of temper,
hallucinations
and other things associated with prolonged
sleep deprivation
. It progresses into nearly total
insomnia
and brings severe loss of weight and memory. At this point, clinical diagnosis is very tricky, which is one of the reasons the disease wasn't described until 1986. The symptoms that any given person who suffers from FFI vary wildly. It is often
misdiagnosed
as
Parkinson's
or
Alzheimer's
, since the symptoms may be similar. The final stage of the disease are total insomnia,
dementia
and eventually
death
. The disease can take as long as a year to run its course and as much as half of that is spent totally unable to sleep.
Diagnosis before death is often difficult, since it is impossible to verify the
symptoms
were the result of FFI without taking a sample of protein from the
thalamus
.
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