SLEEP MEDICINE SERVICES
Board-Certified Sleep Medicine Specialists are an important part of the CNNH team in order to better diagnose and treat sleep disorders. Sleep plays a significant role in overall brain health. The connection between sleep and the brain is important but not always obvious, and sleep disorders can often mimic neurological disorders.
In order to properly diagnose a sleep disorder, a physician board-certified in sleep medicine should perform the evaluation. Depending on the presenting symptoms, the Sleep Physician may decide to perform one or more tests or evaluations in order to diagnose the patient.
Testing may include:
A patient may be asked to document their sleep hygiene and behavior including bed time, sleep latency, number of awakenings, number of times out of bed, and wake-up time. They may be asked to list the length of time perceived asleep each night, whether medications were used, if they or a bed partner noticed abnormal behaviors or symptoms listed above. The patient will also be asked to rate their daytime sleepiness each day while keeping the sleep log.
A wrist device worn at home over several nights, Actigraphy measures sleeping and waking times.
A basic study done at home to help diagnose sleep apnea.
A PSG is a diagnostic sleep test usually performed overnight in a sleep lab to record biophysical changes that occur during sleep. Parameters monitored include, wake and sleep stages (EEG), eye movements (EOG), muscle activity or skeletal muscle activation (EMG), and heart rhythm (ECG) heart rate and blood oxygen content (pulse-oximetry) and respiratory rate, rhythm and effort. The PSG test is used to diagnose or rule out many different sleep disorders or physical disruptors of sleep.
Conducted during the daytime in a sleep lab, this test distinguishes between true excessive daytime sleepiness and physical tiredness, the degree of sleepiness and its causes. This test often follows a PSG and consists of a series of naps every 2 hours.
Data collected from a CPAP machine through modem or smart card to help monitor a patient’s progress.
Once the patient is diagnosed with a sleep disorder, the Board-Certified Sleep Physician will determine which treatment option is most suitable.
In cases of Sleep Apnea, the Sleep Physician might recommend weight loss, position therapy, a CPAP machine, dental devices and ENT consultation.
In cases of Insomnia, follow-up care with the Sleep Physician is critical with consultation on habits, behaviors, and sleep schedules. Other methods to improve insomnia include cognitive behavioral therapy and medication.
In cases of Narcolepsy, the Sleep Physician will usually prescribe medication. Close follow-up care is important for successful outcomes.
Other treatments for sleep disorders may include medicated or non-medicated treatment, phototherapy and behavioral modifications. Holistic approaches including sleep aides, nutrition and exercise may also be discussed.
- Gasping or choking sensation
- Morning Headaches
- Trouble Losing Weight
- Overweight / Obesity
- Large Neck Size
- High Blood Pressure
- Atrial Fibrillation
- ADHD / School Issues
- Trouble Falling Asleep
- Trouble Staying Asleep
- Early Morning Awakening
- Fatigue / Unrefreshing Sleep
- Excessive Sleepiness for more than 3 Months
- Vivid Dreaming
- Sleep Paralysis
- Sudden Weakness Often Related to Laughing / Excitement
- Sleep Attacks
- Unexpected Urge to Sleep
- Restless Legs
- Sleep Walking / Sleep Talking
- Acting Out Dreams
- Sleep Terrors
- Sleep Seizures
“Sleep medicine is a medical specialty or subspecialty devoted to the diagnosis and therapy of sleep disturbances and disorders.”