Overview

Polysomnography (PSG) is a comprehensive sleep study used to diagnose sleep disorders. It records various physiological parameters during sleep, including brain activity, eye movement, muscle tension, heart rate, respiratory effort and blood oxygen levels. This multi-faceted approach helps to identify disorders such as sleep apnoea, narcolepsy, restless leg syndrome and other sleep-related conditions.

Symptoms

Symptoms that may indicate the need for a polysomnography evaluation include:

  • Excessive daytime sleepiness
  • Loud snoring or observed pauses in breathing during sleep
  • Unexplained insomnia or difficulty sleeping
  • Frequent awakenings during the night
  • Nightmares or unusual behaviours during sleep (e.g., sleepwalking)
  • Fatigue or lack of energy during the day

Diagnosis

Prior to a PSG, a clinical assessment and sleep questionnaire are conducted by your healthcare professional. The PSG sleep study is usually recommended based on the results from this initial evaluation.

Treatment

Treatment following polysomnography will depend on the specific sleep disorder diagnosed. Common treatment approaches may include:

  • Continuous Positive Airway Pressure (CPAP): Often used for obstructive sleep apnoea, this device keeps the airways open during sleep.
  • Lifestyle modifications: Including weight management, sleep hygiene practices and changes in sleep environment.
  • Medications: To manage certain sleep disorders like insomnia or restless leg syndrome.
  • Cognitive Behavioural Therapy for Insomnia (CBT-I): A structured programme to improve sleep quality and habits.

Polysomnography is an essential tool for accurately diagnosing sleep disorders, allowing for personalised treatment plans to improve sleep quality and overall health. It is important to work with healthcare professionals specialising in sleep medicine for appropriate evaluation and management.

Consultants and specialists

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