The sleep neurology services at UCLH are run from the National Hospital for Neurology and Neurosurgery (NHNN) by Dr Sofia Eriksson (clinical lead) and Prof Matthew Walker, consultant Neurologists specialising in neurological sleep disorders in adults over 17 years of age. We have extensive experience of the diagnosis and full range of treatments of neurological sleep disorders such as narcolepsy, nocturnal seizures, periodic limb movements of sleep, non-REM and REM-parasomnias, and in the differential diagnosis of nocturnal or sleep related paroxysmal attacks. Symptoms meriting referral include:
- Excessive daytime sleepiness
- Rhythmic leg movements/jerks during sleep
- Atypical sleep behaviours such as sleep walking/talking, confusional arousals
- Unexplained paroxysmal symptoms during sleep, especially with abnormal motor behaviour
- Sleep disorders associated with neurological disease such as epilepsy, dementia and neurodegenerative conditions
Please note that patients with insomnia should be referred to the sleep services at RLHIM.
The services include outpatient clinics as well as in-patient overnight sleep studies (polysomnography), daytime tests for evaluation of excessive somnolence and home studies using Actigraphy.
For your first appointment it is often helpful to bring your bed partner or someone else who may have additional information on your sleep and events during sleep. You will be seen by Dr Eriksson, Prof Walker or one of the registrars in the team. Please bring a list of your medications and completed questionnaire or sleep diary that you may have been sent. Following your appointment you may be referred for an inpatient sleep study but people are usually not admitted on the day of their outpatient appointment but will return for this at a later date. After your sleep study you will be seen for a follow up appointment to go through the results.
The sleep service is closely linked with epilepsy services at the NHNN and utilises the video-telemetry unit at the NHNN for in-patient overnight polysomnography, Multiple Sleep Latency tests and Maintenance of Wakefulness Test.
At the NHNN there is also a subspecialised service for patients with sleep related respiratory dysfunction associated with neurological disorders such as stroke, myasthenia gravis, chronic inflammatory neuropathy, muscular dystrophies and myopathies. This is run by Dr Jeremy Radcliffe, consultant neuroanaesthetist and Helen Eddleston, clinical nurse specialist. This service is only open for referrals from consultants within the hospital and does not accept GP referrals.