Sleep Medicine

Sleep Medicine2017-05-08T15:01:38+00:00

At Lake Norman Neurology we strive to provide the best quality of service, and our sleep clinic is no different. We offer:

  • A philosophy that emphasizes customer service with patient education and choice. Your time and your opinions are important to us!
  • Experienced Sleep Medicine Physicians – Andrew Braunstein, DO, and Ryan Conrad, MD, are both certified by the American Board of Sleep Medicine.
  • Various testing and treatment options for sleep disorders such as snoring and obstructive sleep apnea.
  • A comfortable, patient friendly environment for both clinical and laboratory purposes.

Sleep Disorders that we treat, just to name a few:

Snoring occurs when the tissues in the throat relax, partially blocking the airway where they then vibrate to create the signature snoring sound. Snoring can be caused from several different things including body weight, alcohol consumption, poor sleep posture, large tongue or tonsils, septum conditions and other contributing factors that may make it difficult to breath while asleep.

Sleep apnea is a sleep disorder that occurs when one stops breathing all together while sleeping. For those suffering from sleep apnea, breathing tends to be shallow and is often accompanied by very heavy snoring. This condition can have effects on one’s daily life as well as long term effects on health. The sleep medicine physicians at Lake Norman Neurology can help diagnose and treat sleep apnea through physical exams and sleep studies.

Hypersomnia is a condition causing one to experience extreme fatigue during the day and inadequate healthy sleep and rest at night. Hypersomnia is may be classified as primary and secondary. Primary hypersomnia is excessive fatigue during the day with no known cause. Secondary hypersomnia is caused by some other underlying medical condition that prevents a full night’s rest.

Narcolepsy is also excessive sleepiness during the day, however it’s accompanied with uncontrollable and sudden periods of falling asleep regardless of the activity the patient might be participating in at the time. With narcolepsy, REM (Rapid Eye Movement) – or the period of “deep” sleep – comes nearly immediately. In normal sleep patterns REM sleep it’s achieved after about 90 minutes of sleep. The cause for narcolepsy is also not known. There are treatments to help hypersomnia and narcolepsy conditions. The sleep specialists at Lake Norman Neurology can help diagnose daytime sleep issues as well as help take the steps towards a more restful and comfortable sleep pattern at night.

Insomnia is defined as trouble falling or staying asleep. Those who suffer from insomnia have poor quality of sleep and can have other health problems due to lack of restorative sleep. Insomnia can either be acute, brought on by environmental changes like stress from life events, or it can be chronic, caused also by a traumatic life event that spans more than just a short period of time. Chronic insomnia can also be the side effect of a medical condition or as an adverse effect to a medication. Lifestyle changes, sleep patterns and other options can help treat insomnia.

Parasomnias are a group of abnormal activities that occur while asleep, falling asleep or waking up such as sleepwalking, sleep eating, night terrors, and REM behavior disorder. There is typically no memory of the occurrences except in the case of night terrors (some patients are able to recall a portion of the intense nightmare that woke them up). Stress, genetics, age (as many of these occur primarily in young children), post-traumatic stress, medicinal side effects, drugs, alcohol and other factors may contribute to parasomnia behavior.

RLS and PLMD often occur together within the same patient and both can be contributors to insomnia and parasomnia. PLMD is an involuntary movement of the toes, legs or even arms in either small or thrashing movements. RLS is a sensation that occurs that can only be satisfied with the movement of the legs. RLS, however, can occur during the day as well. The developmental risk of both of these conditions increases with age. In most cases, medical management greatly reduces the occurrences of these uncomfortable conditions.

Nocturia is another name for frequent urination during the night. Most people are able to sleep uninterrupted for six to eight hours without the urgency of having to urinate waking them up. Patients with nocturia often get up during the night to urinate. The cause could be related to a lifestyle choice such as excessive alcohol or caffeine intake; a urinary tract infection; sleep apnea. Nocturia could be related to more serious underlying medical causes such as bladder prolapse, sphincter disorders, enlarged prostate and bladder or prostate cancer. In any case, nocturia should be evaluated by a medical provider to determine the cause of the condition and develop a treatment plan.

Nocturnal seizures are similar to epilepsy only they occur during sleep. Most of the nocturnal seizures occur right after falling asleep and before the stages of REM (Rapid Eye Movement). Sleep deprivation or poor sleep patterns can be triggers for nocturnal seizures. Developing a healthy sleep routine is important for controlling sleep seizures, though medication is often also needed to assist with the sleep disorder.