Sleep Medicine Clinic
We can Assess and Treat you
We can Assess and Treat you
40% of Canadians will experience a
sleep disorder during their lifetime.
sleep disorder during their lifetime.
Roughly 40 per cent of Canadians will experience a sleep disorder during their lifetime, which can lead to serious health risks over time, according to sleep research.
Did You Know?
Primary sleep disorders are caused by endogenous abnormalities in the mechanisms regulating the sleep-wake cycle. Secondary sleep disorders stem from comorbid conditions, including neurodegenerative diseases such as Parkinson’s disease or Alzheimer’s disease, or psychiatric disorders that can cause disruptions in normal sleep-wake mechanisms.
Common conditions include but are not limited to the following:
- Sleep Apnea
- Sleepwalking, kicking, and talking
- Excessive daytime sleepiness
- Difficulties with shiftwork
- Abnormal sleep behavior
- Daytime sleepiness and fatigue
- REM behavior disorder
- Restless leg syndrome
The Sleep Medicine Center at Neurotherapy Montreal is a state-of-the-art facility whose providers treat a breadth of sleep disorders, including sleep apnea, narcolepsy, insomnia, restless leg syndrome/periodic limb movement disorder and circadian rhythm abnormalities.
We provide multidisciplinary assessment, treatment, and follow-up consultation services for patients with neurological conditions and/or suspected or diagnosed sleep-related problems.
We offer various current treatment options.
Dr. Katéri A. Champagne
Diplomat of the American Board of Sleep Medicine.
Director of The Sleep Medicine clinic at Neurotherapy Montreal.
A pneumonologist and a graduate of the American Board of Sleep Medicine (ABSM), Dr. Katéri is supported by a talented team of medical specialists and specialized technologists.
Planning Your Visit
Any visit to a doctor’s office can be nerve-wracking.
At the Montreal Neurotherapy Sleep Medecine Clinic we want to be sure that you are fully prepared for your appointment to ensure every visit goes smoothly.
This requires some preparation on your part to be sure you have all the information and material necessary for the appointment readily available.
The first step toward resolving your sleep issue, even before an appointment with one of our sleep specialists, is to complete a patient questionnaire.
This will give your physician and other staff members at the Montreal Neurotherapy Sleep Medecine Clinic detailed information about your sleep problems and any other health issues related to your condition.
Your doctor will use this information during your consultation to ensure you receive the best possible care and all of your sleep related issues are addressed.
Here are some helpful hints to help you schedule your appointment, prepare for the visit and ensure you know what to expect every step of the way.
Diagnosing Your Sleep Disorder
The Sleep medecine Clinic at Neurotherapy Montreal is committed to making a thorough assessment of your sleep issues so that we can fully understand your condition and create a treatment plan specific to your needs.
Common Comorbid Neurological, Psychiatric Conditions Evaluating potential primary or secondary causes of sleep disorders can be especially challenging when it comes to neurological disease and psychiatric disorders because the conditions often happen at the same time.
The prevalence of this REM behavior disorder in patients with Parkinson’s disease is believed to be about 15% to 60%. In people who have Alzheimer’s disease, for example, sleep can become fragmented, making it difficult for them to stay asleep.
One of the things we can see in Parkinson’s is an REM behavior disorder, in which patients actually act out their dreams at night.
2. Overnight, attended sleep study
3. Daytime, attended sleep study
4. Home sleep study
5. Sleep Disorder Treatments
Overnight, attended sleep studies –known as nocturnal polysomnograms (PSG)– are conducted in a sleep lab where you’re monitored (or attended) all night by a trained sleep technologist. During the study, we assess your sleep stages by recording brainwaves (EEG), eye movements (EOG) and muscle tone (EMG). We also carefully examine your breathing throughout the night by measuring your airflow, breathing effort, snoring and oxygen
saturation. Leg movements and heart rate (ECG) are also monitored to provide a comprehensive evaluation of your sleep.
Collecting all this data requires the sleep technologist to apply numerous sensors before you go to sleep. The set up procedure is quite complex and usually takes about 90 minutes. The hook up includes applying sensors on the scalp, face, throat, chest, finger and legs.
There are three common types of overnight sleep studies:
Diagnostic Evaluation: This study measures your sleep without any intervention. It’s typically used to diagnose or rule out a disorder.
Continuous Positive Airway Pressure (CPAP) Titration: During a CPAP titration, the technologist adjusts the setting on the CPAP machine to determine how much air pressure is needed to normalize your breathing.
Split Night Study: A split night study is a combination of a diagnostic and CPAP titration study.
The first half is used to diagnose sleep apnea and then midway through the night CPAP is started. The sleep tech spends the rest of the night adjusting the pressure until breathing has been normalized.
Home Sleep Study (Portable Monitoring)
To test for OSA at home sleep study is a simplified version of an overnight, attended sleep study that focuses on nocturnal breathing.
Home sleep studies are only used to diagnose or rule out obstructive sleep apnea (OSA). Because the emphasis is on breathing, it’s possible to use fewer sensors.
Not all patients are good candidates for a home test. If you need a sleep study, your doctor will make a recommendation based on your specific situation whether you should have your test done in the lab or at home.
Sleep Disorder Treatments
The key to successfully treating a sleep disorder is an accurate diagnosis. There are over 100 different sleep disorders, and each of those has a different treatment approach. For some disorders, such as obstructive sleep apnea , there are several choices available, so it is important that you discuss the options with your physician and develop a treatment plan.
If you would like to pursue a treatment for a previously diagnosed sleep disorder, schedule an appointment with the Neurotherapy Montreal Medicine Center.
Visit the Planning Your Visit section for more details.
See below for more information about treatment options.
Treatments for sleep related breathing disorders
Positive Airway Pressure (PAP) Therapies
A treatment for sleep apnea which uses a machine to help keep the patient’s airways open while sleeping.
Types of PAP machines include CPAP, BiLevel, AVAP, and Servo Ventilators.
Behavioral measures for sleep disorders
Non-surgical treatments for sleep and breathing related disorders.
A device worn in the mouth during sleep to keep the soft tissue in the airway from collapsing as a treatment for sleep apnea and other airway-obstruction sleep disorders.
Therapy to enable patients with sleep apnea or other obstruction disorders to train them to sleep on their sides, effectively resolving or reducing sleep disordered breathing.
Treatments for insomnia
Cognitive behavioral therapy for insomnia (CBTI)
Therapy to guide patients through a series of changes in sleep-related behaviors wit h a focus on addressing key factors that contribute to the persistence of insomnia.
Medications for insomnia
Health Canada has approved certain medications for the treatment of insomnia called hypnotic medications or sleep medications.
Treatment for shiftwork/circadian rhythm disorders
Bright light therapy
A light therapy used to manage circadian rhythm disorders such as delayed sleep phase syndrome (DSPS), by gradually enabling a shift to normal societal sleeping patterns.
Treatment for restless legs syndrome
Treating restless legs syndrome (RLS)
Sleep specialists normally treat RLS with a combination of pharmacological treatments and behavioral advices.
Treatments for narcolepsy/hypersomnia
Sleep specialists normally treat narcolepsy with a combination of behavioral changes (primarily scheduling nocturnal sleep and naps) and medications.
Treating Kleine-Levin syndrome
There is no specific, definitive treatment to cure or control KLS, also known as recurrent hypersomnia.
Some aspects of the disease can be managed.
Treating idioptathic hypersomnia
Treatment is based on the symptoms displayed and on a careful analysis of their most probable cause(s).
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