The NeuroSleep Center
The NSC is both a state-of-the-art diagnostic testing facility as well as a complete multidisciplinary holistic approach to treat sleep disorders. Moreover, we have also taken great care to ensure that The NCS is a soothing, exceptionally comfortable environment that includes specially selected bedding, colors, and room design. We are fully equipped to test for and identify sleep disorders such as: obstructive sleep apnea, narcolepsy/cataplexy, REM behavior disorder, insomnia, hypersomnia, restless leg syndrome, periodic limb movement disorder, and many other disorders. Based on the diagnosis, we then provide a combination of therapeutic modalities best suited to deliver the most effective treatment to each patient. The NSC is accredited durable medical equipment (DME) provider that provides patients with needed equipment such as CPAP, BiPAP, AutoSV and masks.
At The NSC we do not stop at diagnosing the problem, but go further to treat each patient using a comprehensive multidisciplinary approach with biofeedback, behavior modification, sleep hygiene, and also providing equipment such as CPAP masks, fitting them and making sure that the needed equipment suits each patient. We pay particular attention to individual patient comfort, such as providing desensitization for patients who are claustrophobic or require alternative options to CPAP. We also work closely with a variety of complementary specialists such dentists, pulmonologists, neurologists, and ENT specialists who are part of The NCS faculty. We make sure that the overall quality and quantity of sleep, quality of life and long-term management of the sleep disorder is taken care of. Furthermore, we monitor the patient from cardiac standpoint, detecting cardiac arrhythmias that occur during sleep and act upon them. We have close association with cardiologists who specialize in electrophysiology of the heart and are able promptly evaluate and treat patients whenever we diagnose cardiac arrhythmia.
In summary, The NSC specializes in all sleep disorders as listed above. We have board certified sleep specialists on staff that evaluate and treat these disorders.
Polysomnography (sleep study, PSG)
In an overnight sleep study, the patient spend the night at our comfortable and unique laboratory to monitor sleep and many modalities including brain activity, breathing, heart, leg, abdominal and chest movements. The study is done under video monitoring to observe other abnormal behavior. The following day, a qualified physician interprets the study and a repot is generated documenting any sleep abnormalities. From the sleep study we can diagnose breathing disorders (obstructive sleep apnea, nocturnal hypoxia, central apneas), periodic limb movement disorder, REM behavior disorder, cardiac arrhythmias, seizures, and many other sleep disorders.
Multiple Sleep Latency Test (MSLT)
The MSLT is used to evaluate level of sleepiness in patients and diagnose narcolepsy and/or hypersomnia. After an overnight diagnostic sleep study, the patient is kept at the lab and allowed to take four to five naps (20 minutes each, two hours apart). We record the time it takes the patient falls asleep (sleep onset) and if REM sleep occurs during any of the naps. Based on the results the diagnosis of hypersomnia or narcolepsy is made or ruled out.
Maintenance Of Wakefulness Test (MWT)
The MWT is a way to evaluate the ability to stay awake during the day. After an overnight diagnostic sleep study, the patient spends the day at the sleep lab and is allowed to conduct four tests spaced 2 hours apart. The patient is asked to stay awake where sensors on the head and chest record brain wave activity, eye movements, muscle contractions, and heart activity to accurately detect if the patient falls asleep. The test determines the patient’s ability to stay awake.
CPAP Fitting and Follow Up
After diagnosing obstructive sleep apnea and successful PAP titration, the patient is brought into the lab for PAP mask fitting, training and education. The patient is then followed regularly to endure compliance and effectiveness of the PAP therapy. Routinely the PAP data can be downloaded to ensure compliance and the insurance companies to continue to pay for it.
Certain patients are claustrophobic and are unable to tolerate the PAP machine. Other patients are not comfortable with the mask used or the amount of air pushed through the PAP machine. The patient is brought into the sleep lab during the day, allowed to try on several masks and pick the mask that is most comfortable and able to use. The patient is then allowed to take a nap using that mask and PAP therapy. The patient is monitored during the nap while using the PAP and the chosen mask to evaluate for the effectiveness of the mask. Patients typically enjoy and appreciate this experience and their compliance with the use of the PAP therapy increases.
Clinical evaluation, treatment and follow-up of sleep disorders
At The NCS we go beyond diagnosing common sleep disorders such as obstructive sleep apnea or narcolepsy. We assess patients for other sleep disorders such as insomnia, hypersomnia, restless leg syndrome, periodic leg movement disorder, REM behavior disorder, narcolepsy/cataplexy, shift work disorder and many other rare disorders. During the sleep study we also identify dangerous cardiac arrhythmia and nocturnal hypoxia that are not diagnoses since they only occur at nighttime.
We have very strong and close association with pulmonologist, neurologists, ENT specialist, cardiologists and internists who we work closely with to treat patients with problems that are identified during the sleep evaluation promptly.