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Sleep

Please Visit Our Sleep Disorders Center Website

The University of Michigan Sleep Disorders Clinic is an outpatient medical facility for diagnosing and treating sleep-related disorders. It is fully accredited by the American Academy of Sleep Medicine. The clinic takes place on Mondays, Tuesdays, Thursdays, and Fridays, in the Neurology Department outpatient area of the Taubman Clinic building (1st floor, Area C) and at the East Ann Arbor Health Center (2600 Green Road).

Patients are seen for a variety of conditions including:

  • Excessive somnolence
  • Obstructive Sleep Apnea
  • Parasomnias
  • Periodic leg movements
  • Restless leg syndrome
  • Insomnia

Unlike the sleep disorders clinic which is designed to collect initial history and discuss possible treatment plan, the Michael S. Aldrich Sleep Disorders Laboratory offers nighttime sleep studies (polysomnograms) and multiple sleep latency tests. In order to undergo a sleep study, patients must first be evaluated at the sleep disorders clinic or have a referral for a sleep study by their provider.

Our featured programs:

Subspecialty Sleep Clinics:

Alternatives to CPAP Clinic

The Alternatives to CPAP Clinic which takes place on Monday afternoons, is designed to streamline evaluation of patients with obstructive sleep apnea who do not tolerate treatment with continuous positive airway pressure (CPAP). This multidisciplinary clinic offers several appointments with different specialists during a single afternoon visit. A visit to the Alternatives to CPAP Clinic includes an evaluation with a sleep medicine specialist, an otolaryngologist, an oral and maxillofacial surgeon, and sometimes a dentist who specializes in prosthodontics. The program is designed for patients who are considering surgery or an oral appliance as a treatment for obstructive sleep apnea.

Pediatric Sleep Disorders Clinic

Children with sleep-related problems can be evaluated in the following clinics:

  1. Multidisciplinary Pediatric Sleep Disorders Clinic held on Friday mornings in the Department of Pediatrics and Communicable Diseases, Taubman Clinic (1st floor, Area D). This Clinic is dedicated to the evaluation of sleep disorders in infants, children, and adolescents, and to assessment of daytime behavior problems that often accompany sleep disorders. Sleep specialists evaluate and treat children with sleep-disordered breathing, insomnia, excessive daytime sleepiness, unusual movements or behaviors during sleep, nightmares or night terrors, and disorders of the sleep/wake schedule. The team is made up of physicians and a psychologist with expertise in medical and behavioral aspects of sleep. Each child is scheduled with the appropriate member or members of the Clinic based on presenting concerns.
  2. The University of Michigan Sleep Disorders Clinic held on Thursday mornings in the Department of Neurology, Taubman Clinic area (1st floor, Area C). This Clinic is available to children, 12 months or older, who have any problem related to sleep, wakefulness, or circadian rhythms.

During an appointment at one of these clinics, a decision may be made to obtain an overnight sleep study, other tests, or follow-up visits. Children have sleep studies in the Michael S. Aldrich Sleep Disorders Laboratory.

Sleep Disorder Center:

Clinical Tools and Forms
Referring Physicians

Clinic Statistics

Between 2002-2003, there were 934 new sleep patients and 1806 return patients.

To make an appointment at the Sleep Disorders Clinic, please call:

(734)936-9020 TTY
(800)649-3777 ( Michigan Relay System)

To make an appointment at Alternatives to CPAP Clinic, please call Mr. John Palmisano at:

(734) 936-9158

To make an appointment at Multidisciplinary Pediatric Sleep Clinic, please call:

(734) 936-4179

Send sleep clinic referral information to:

A. Alfred Taubman Health Care Center
Department of Neurology
1500 East Medical Center Drive
Floor 1 , Reception Area C , Room 1324
Ann Arbor, MI 48109-5322
Phone: (734) 936-9010
Fax: (734) 615-4991

Administrative Office:

Michael. S. Aldrich Sleep Disorders Laboratory
C728 Med Inn Building SPC 5845
1500 east Medical Center Drive
Ann Arbor , MI , 48109-5845

Information for Patients:

The most common problems that bring patients to the Sleep Disorders Clinic are sleepiness during the day and insomnia at night. However, many other problems are also seen, including loud snoring that disrupts sleep of patients and their families. Some patients have abnormal nocturnal behaviors, such as acting out dreams, sleep walking, or seizures during sleep. Others have circadian rhythm problems, such as difficulty going to sleep at night combined with difficulty waking up early enough for work or school. A common complaint is that of restless legs, in which patients cannot fall asleep because they have an irresistible urge to move their legs. Some patients have memory or attention difficulties that can arise from problems with sleep, and others (especially children) come with problems related to daytime hyperactivity or other behavioral issues. Poor sleep health habits or difficulties with sleeping pills are also common reasons for people to be seen in the Sleep Clinic.

If you come to the Sleep Disorders Clinic, a physician will spend much of the first visit asking you about your medical and sleep history. He or she will perform a physical examination. You will then hear some ideas about what may be causing your sleep problem. Often, but not always, an overnight sleep study (polysomnogram) in the Sleep Laboratory will be recommended. The purpose usually is to confirm the presence of a sleep disorder, or to help assess how severe it is. A letter summarizing the information reviewed during your visit, and the sleep specialist's impressions, generally is sent to your referring physician. Diagnoses made and later treated at the Sleep Disorders Clinic vary widely. Some of the most common diagnoses are obstructive sleep apnea, psychophysiological insomnia, inadequate sleep hygiene, and restless legs syndrome. Other diagnoses include, for example, central sleep apnea, narcolepsy, sleep-related seizures, REM sleep behavior disorder, sleepwalking, periodic leg movements during sleep, delayed sleep phase syndrome, and limit-setting sleep disorder.

 

Clinic Providers

Ronald D Chervin, MD, Director

David A Cohen, MD

Flavia B Consens, MD

Shelley D Hershner, MD.

Raman K Malhotra, MD.

Michael J Zupancic, MD.

Lizabeth Binns , PA-C

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