intermediatenarcolepsycataplexysleep disordershypnagogic hallucinationssleep paralysispsychotic disorder differentialREM sleep
A 20-year-old male presents with excessive daytime sleepiness for the past year. He reports sudden episodes of muscle weakness triggered by laughing (his knees buckle, he drops objects). He also describes vivid hallucinations when falling asleep and episodes of being unable to move for seconds upon waking. A sleep study confirms shortened REM latency. What is the MOST likely diagnosis?