Sleep Center

  • Conditions Treated at the Sleep Center

    The Sleep Center at Cincinnati Children’s is the largest multidisciplinary sleep center in the Tristate.  We evaluate and treat children with various sleep disorders including sleep-disordered breathing (obstructive sleep apnea, apnea of infancy), parasomnias (sleep terrors, sleep walking, nightmares), circadian rhythm disorders (delayed sleep phase syndrome), movement disorders (restless leg syndrome, periodic limb movement disorders), narcolepsy and behavior sleep problems. 

    We help in the management of sleep disordered breathing in children with complex medical conditions such as neuromuscular disease, craniofacial syndrome, chronic lung diseases and respiratory control disorders.

  • Conditions We Treat

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    Obstructive Sleep Apnea

    What is Obstructive Sleep Apnea?

    Researchers have shown that 8 percent to 10 percent of children snore every night. Approximately 1 percent to 2 percent of children have obstructive sleep apnea (OSA). OSA occurs when a child stops breathing during sleep. The child may struggle to breath, and may have snorting and gasping sounds during sleep. 

    What causes Obstructive Sleep Apnea?

    Several factors contribute to OSA in children, but the most common cause is enlarged tonsils and adenoids. Overweight children are also at risk for OSA.  

    What are the associated risks?

    If left untreated, OSA can lead to many long-term consequences including cardiovascular complications, and neurocognitive complications such as poor school performance, behavior problem and hyperactivity.  

    How do you diagnose Obstructive Sleep Apnea?

    OSA can be diagnosed by an overnight sleep study. 

    How do you treat Obstructive Sleep Apnea? 

    Treatment of OSA in children may involve surgery to remove tonsils and adenoids, the use of a mechanical device such as CPAP and medications.

    If you suspect that your child may have OSA, you should talk to your pediatrician. Your child may need to be referred to the sleep center for further evaluation.  

    Visit our Upper Airway Center - Treating Obstructive Sleep Apnea

    Restless Leg; Periodic Limb Movement

    What is Restless leg syndrome (RLS)?

    Restless leg syndrome (RLS) is a sleep disorder that is described by an urge to move the legs or leg discomfort  that often occurs at night or during rest.

    What is Periodic limb movement disorder (PLMD)?

    Periodic limb movement disorder (PLMD) is the presence of repetitive leg movements during sleep.  RLS and PLMD are closely related and often coexist. Recent studies suggest that RLS and PLMD are common in children.

    What are the associated risks?

    It is likely that if left untreated, RLS and PLMD may lead to long-term adverse consequences.  Children may use various terms to describe their leg discomfort such as “oowies,” “tickle,” “spiders,” “want to run” and “a lot of energy in my legs.”  Some children may have difficulty falling asleep, daytime sleepiness or hyperactivity similar to ADHD. 

    How do you diagnosis RLS and PLMD?

    The diagnosis of RLS and PLMD requires evaluation in sleep clinics and overnight sleep study.  

    How do you treat RLS and PLMD?

    Children with RLS and PLMD would benefit from medications and good sleep hygiene.   

    Narcolepsy

    What is narcolepsy?

    Narcolepsy is a sleep disorder  that is characterized by an excessive daytime sleepiness and a tendency to fall asleep at inappropriate times. It is a life-long condition and its impact on children’s life can be serious and if not recognized, disabling. Children with narcolepsy often have irresistible episodes of sleep or sleep attack during the day. Some children may have an abrupt loss of muscle tone ranging from weakness in the knee and jaw drop to complete physical collapse, usually triggered by emotions (cataplexy). Other typical symptoms of narcolepsy include an inability to move while going to sleep or waking up (sleep paralysis), and vivid dreamlike experiences that can be frightening and usually occur at sleep onset (hypnagogic hallucination). 

    What causes narcolepsy?

    The exact cause of narcolepsy is unknown, but it may involve the area of the central nervous system that controls sleep and wakefulness. 

    How do you diagnose narcolepsy?

    The diagnosis of narcolepsy requires an overnight sleep study and nap tests. 

    How do you treat narcolepsy?

    Although there is no cure for narcolepsy, several medications can help to reduce its symptoms.  Children with narcolepsy can lead productive lives if they are provided with proper medical care.  Parents and teachers should be aware of the symptoms of narcolepsy.  This will help them not to make the mistake of confusing the person’s behavior with laziness, hostility, rejection or lack of interest or motivation. 

    Other Conditions Treated

    • Bedtime fears  or problems: helping overcome them
    • Breathing disorders associated with neuromuscular disorder
    • Central hypoventilation syndrome
    • Chronic respiratory failure
    • Circadian rhythm disturbances
    • Excessive nighttime sweating
    • Insomnia
    • Loud snoring
    • Night terrors
    • Parasomnias
    • Restless sleep
    • Sleep apnea
    • Apnea of infancy
    • Sleep disturbances associated with chronic illness
    • Sleep onset association disorder
    • Sleep walking
    • Upper airway and craniofacial anomalies
    • Respiratory control disorders
    • Ventilator or technology dependence

 
  • We evaluate and treat children with various sleep disorders.

    We evaluate and treat children with various sleep disorders.

    Conditions Treated

    We evaluate and treat children with various sleep disorders.

    We evaluate and treat children with various sleep disorders.