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Pulmonology (Lung Disease)
Diagnosis and Treatment of Sleep Disorders
In order to diagnose a sleep disorder, the sleep specialist performs a comprehensive sleep history. For certain problems (such as sleep apnea or narcolepsy) additional laboratory procedures may be required.
The Pediatric Sleep Disorders Center offers state-of-the-art computerized equipment that permits a wide variety of evaluation techniques. Selected patients may require a polysomnogram, an overnight sleep study in the Center's comfortable and child-friendly two-bed sleep laboratory located in Sarah E. Nash Lung Center. Parents stay overnight with their child, while technicians monitor the child continuously and also provide one-on-one care for physical and emotional support.
During a sleep study, the child is monitored for multiple brain and body activities, including brain waves (EEG), eye movements, limb movements, muscle activity, and heart rate. Other monitors measure breathing, chest and abdominal respiratory movements, airflow at the nose and mouth, and oxygen and carbon dioxide levels.
In many instances, behavioral interventions and schedule changes are used to help normalize sleep and sleep patterns. For sleep apnea, treatment recommended may include weight loss, nighttime respiratory support (CPAP -- continuous positive airway pressure), or surgery, for example tonsillectomy and adenoidectomy. Treatment for narcolepsy may require a multi-component approach that includes medication, behavior modification, and environmental management.
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- Pediatric Pulmonology
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(212) 305-5122
