The Joint Commission and American Heart Association / American Stroke Associationâs Comprehensive Stroke Center Certification includes a new and exclusive suite of benefits. The total fee for certifying a Comprehensive Stroke Center will be $55,000 for the two-year certification cycle including: 1  Two day on-site fee of $5,600; and. 2  Annual fees of $24,700.
Excessive daytime sleepiness: A neurological disorder in which there is a sudden recurrent uncontrollable compulsion to sleep. Excessive daytime sleepiness is also known as narcolepsy. The condition is often associated with: 1  Cataplexy -- a sudden loss of muscle tone and paralysis of voluntary muscles associated with a strong emotion. 2  Sleep paralysis -- immobility of the body that occurs in the transition from sleep to wakefulness. 3  Hypnagogic hallucinations -- pre-sleep dreams.
Narcolepsy is a neurological disorder that affects the control of sleep and wakefulness. People with narcolepsy experience excessive daytime sleepiness and intermittent, uncontrollable episodes of falling asleep during the daytime. These sudden sleep attacks may occur during any type of activity at any time of the day. In a typical sleep cycle, we initially enter the early stages of sleep followed by deeper sleep stages and ultimately (after about 90 minutes) rapid eye movement (REM) sleep. For people suffering from narcolepsy, REM sleep occurs almost immediately in the sleep cycle, as well as periodically during the waking hours. It is in REM sleep that we can experience dreams and muscle paralysis -- which explains some of the symptoms of narcolepsy.