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Sleep disorders are on the rise. It is estimated that nearly 75 CHOOSING YOUR CARE
percent of adult Americans experience sleep disorder symptoms
At Cleveland Clinic’s Sleep Disorders Center, our
at least a few nights per week. As many as 25 to 30 percent multidisciplinary program is dedicated to the
of infants and children also experience some form of sleep diagnosis and treatment of sleep disorders in
disturbance. Sleep loss has a detrimental effect on your quality adults and children.
of life and virtually all of your organ systems. You don’t need Our team approach unites adult neurologists,
to suffer with poor quality sleep or daytime sleepiness. The first internal medicine, family medicine and pediat-
ric sleep experts, pulmonary and critical care
step toward a better night’s sleep is a comprehensive evaluation
medicine specialists, psychologists, psychiatrists
by a sleep disorders specialist.
and otolaryngologists, under one roof. Together,
they will work with you to uncover the cause
of your sleep problems and tailor the treatment
that is best for you and your lifestyle. Cleveland
Clinic’s Sleep Disorders Center is accredited by
USING THIS GUIDE the American Academy of Sleep Medicine. The
center is part of our Neurological Institute, with
Please use this guide as a resource as you learn neurology and neurosurgery services for adults
about the different types of sleep disorders, and children top-ranked in Ohio by
diagnosis and treatment options. As a patient, U.S. News & World Report. Cleveland Clinic
is also consistently ranked as one of the top
you have the right to ask questions and seek
hospitals in the nation.
a second opinion.
Sleep disorders can affect the quality and quantity of sleep or can cause
difficulty maintaining normal wakefulness — both of which can cause
impaired daytime functioning and a host of medical, psychiatric and
psychosocial problems. There are more than 80 different types of sleep
disorders that afflict about 70 million Americans.
SLEEP APNEA
Sleep apnea is a potentially serious sleep disorder that occurs when a
person’s breathing is interrupted during sleep. People with untreated sleep
apnea stop breathing repeatedly during their sleep, and this can occur up
Did you know? to hundreds of times during the night.
There are two types of sleep apnea: obstructive and central. Obstructive
sleep apnea (OSA) is more common, and is caused by episodes of com-
Hours of sleep needed
plete or partial airway blockage during sleep. This usually happens when
per night: the soft tissue in the back of the throat collapses during sleep. In central
sleep apnea (CSA), the airway is not blocked, but the brain fails to signal
Ages 5 – 12 the muscles to breathe. This is caused by instability in the respiratory
10 to 11 hours control center in the central nervous system.
In children, the signs may not be as obvious and include poor school
performance, hyperactivity, lack of focus, sleepiness, daytime mouth
breathing, inward movement of the rib cage when inhaling, unusual
sleeping positions, excessive nighttime sweating, learning and behavioral
disorders, and bedwetting.
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the home of patients with high probability of moderate to severe obstructive sleep
apnea and who do not have problems affecting the heart, lungs and/or nervous
system. (See sidebar on HST for details.)
Home Sleep
How is sleep apnea treated?
Conservative treatment may be all that is needed for milder cases of
Testing (HST)
sleep apnea. Lifestyle changes may include losing weight (if overweight), avoiding HST is a diagnostic test that
alcohol and sleeping pills, sleeping on your side, using nasal sprays or breathing helps confirm the presence of
strips, and avoiding sleep deprivation. Continuous positive airway pressure (CPAP) moderate-to-severe OSA. The
therapy is often necessary for those with OSA. Special appliances that are placed testing is done in the comfort of
in the mouth can help those with mild-to-moderate sleep apnea. These appliances your home, instead of a sleep
prevent the tongue from blocking the throat and help move the lower jaw forward laboratory, using a portable sleep
during sleep. monitor. Importantly, this test is
not recommended in patients with
Other non-CPAP methods of obstructive sleep apnea treatment include nasal expira- sleep disorders other than OSA or
tory positive airway pressure therapy and oral pressure therapy. Nasal expiratory in patients with serious heart or
therapy consists of mechanical valves placed at the nares. This allows for a low lung disorders who require a more
resistance when inhaling and a high resistance when exhaling, which ultimately comprehensive overnight study in a
keeps the airway clear. Oral pressure therapy uses a light oral vacuum that brings sleep laboratory.
the throat tissues forward and stabilizes the tongue to open the airway. Once home sleep testing has been
ordered, you will be scheduled
In some patients, surgical procedures effectively reduce sleep apnea in those who
for an appointment with one of
have too much soft tissue or malformed tissue that blocks the airflow through the
our technologists to learn how to
nose or throat. Surgical options can range from nasal surgery to improve breathing operate the device. The portable
to help adjust to CPAP, restructuring of the throat tissue to lessen collapse, or even a sleep monitor is easy to activate.
nerve stimulation implant to open the airway. It includes a recording device,
sensors and belts and is powered
The nerve stimulation treatment involves a small, minimally invasive, implanted by AA batteries. It records infor-
pacemaker-like system that monitors breathing while sleeping and delivers mild mation, including your airflow,
stimulation to certain airway muscles to keep the airway open. It is controlled via a breathing effort, blood oxygen
handheld remote and consists of three implanted components: a small generator, levels and snoring during your
which is implanted in the right chest area; a breathing sensor, which is placed in sleep. You will have the opportu-
the thoracic region; and a stimulation lead, which is placed along a branch of the nity to practice applying the device
hypoglossal nerve. Of the patients that meet strict inclusion and exclusion criteria, with one of our sleep technologists
so you are more comfortable using
this therapy has shown to reduce the severity of OSA and improve quality of life
the equipment on your own. You
and daytime functioning.
will return the monitor the day after
What is CPAP? your study and the results will be
sent to your referring physician
With continuous positive airway pressure (CPAP), patients wear a mask over their
within a week.
nose and/or mouth and an air blower forces air through the airway. The air pres-
sure is constant and continuous, and adjusted so that it is just enough to prevent
the upper airway tissues from collapsing during sleep.
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CLEVELAND CLINIC | SLEEP DISORDERS | TREATMENT GUIDE
CPAP prevents airway closure What are some advancements in the diagnosis and
while in use, but apnea treatment of OSA available at Cleveland Clinic?
episodes return when CPAP is
• Sleep Apnea Management (SAM) Clinic: SAM is
stopped or it is used improp-
an innovative and interactive approach to healthcare
erly. Many types and styles of
that brings patients with common needs together
devices are available. with healthcare providers such as a nurse, nurse
practitioner, physician and/or durable medical equip-
Some patients are not able
ment (DME) representative, in one room to provide
to adhere to CPAP due to
the most efficient service.
pressure intolerance. Patients
The SAM Clinic is dedicated to helping patients
who cannot tolerate CPAP
successfully use PAP therapy and is designed to
may benefit from other types of pressure delivery
give patients who are beginning PAP therapy quick
devices. The Cleveland Clinic Sleep Disorders Center
access to one-on-one help for any questions or
offers additional services including PAP Naps and SAM problems that could interfere with them regularly
clinics for patients having challenges getting adjusted to using their therapy on a nightly basis at home.
PAP therapy.
While in bed –
• Turn your clock around and use your alarm, if needed
• If you can’t fall asleep in 20 minutes, get out of bed and do something
relaxing until you are sleepy
• Use your bed for sleep only
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It is our goal to help patients feel comfortable and Insomnia varies in how long it lasts and how often
confident using PAP. While experience may vary, it occurs. It may be short-term (acute) or long-term
successful use of PAP therapy can greatly reduce (chronic). Insomnia is considered chronic when it occurs
sleepiness, fatigue and irritability while increasing at least three nights a week for a month or longer.
energy level, alertness and mood within a week. PAP Psychophysiological (mind-body) insomnia is a disorder in
therapy is proven to reduce the long-term risks of heart which people cannot sleep because their minds or bodies
attack, stroke, high blood pressure and diabetes. are not relaxed.
• Positive Airway Pressure (PAP) Nap: PAP Nap is one How is insomnia diagnosed?
tool used to help patients effectively use PAP therapy. Insomnia is diagnosed by a clinical evaluation, including a
A PAP Nap is a daytime study for patients who have physical exam, medical history and sleep history. You may
anxiety about starting PAP therapy, are claustrophobic, be asked to keep a sleep diary for a week or two, and your
or are having difficulty tolerating PAP therapy for their doctor may want to ask your partner about the quantity
sleep-related breathing disorder. The patient works and quality of your sleep. In some cases, you may be
one-on-one with a sleep technologist, using relaxation, referred to a sleep laboratory for special tests.
deep breathing and desensitization techniques to try to
become more comfortable with PAP therapy. How is insomnia treated?
During the PAP Nap, patients have individual coaching Insomnia is treated by practicing good sleep habits and
and counseling by a sleep technologist to overcome any cognitive behavioral strategies with or without the use of
fears or discomforts they have about PAP therapy and to short-term sleep aids.
make them more comfortable with the mask and pres-
In addition to treating comorbid health problems that you
sure sensations. Minimal bioelectrodes are used during
also may be experiencing, the most effective treatment for
these studies.
chronic insomnia is cognitive behavioral therapy. Cognitive
INSOMNIA behavioral therapy for insomnia (CBT-I) is a multi-compo-
nent treatment that addresses your thoughts and behaviors
Insomnia is a sleep disorder in which people have difficulty
related to sleep. The behavioral aspects of treatment consist
falling asleep, staying asleep, early morning awakening or
of two well-developed and research-supported treatment
unrefreshing sleep in the setting of an adequate oppor-
components — sleep restriction therapy and stimulus
tunity for sleep. About 50 percent of adults experience
control therapy — which are aimed at improving sleep
occasional bouts of insomnia, and one in 10 suffers from
quality and quantity. The cognitive component of the treat-
chronic insomnia. It is twice as common in women as
ment focuses on restructuring or changing sleep-related
men, and is more common in older than younger people.
thoughts. These can include thoughts that increase arousal
and beliefs that may interfere with insomnia treatment.
There are two kinds of insomnia:
Primary insomnia – sleep problems not associated with other Most of the evidence supporting CBT-I is from studies by
health problems expert practitioners who have worked with patients over a
specific number of sessions. Research also supports the
Comorbid insomnia – sleep problems due to another
effectiveness of CBT-I when administered in a group setting.
health condition, pain, medicine or substance abuse
Cleveland Clinic’s Sleep Disorders Center is one of only a few
sleep centers across the United States that provides CBT-I in
What are the symptoms of insomnia?
a group setting. The Sleep Skills Group is a form of treatment
Insomnia can cause sleepiness during the day, general
designed to provide sleep knowledge and effective coping skills
tiredness, irritability and problems with concentration
to help you sleep as soundly as possible. The group meets
or memory.
weekly for four weeks and many people begin seeing improve-
ments within the initial two to three weeks of treatment.
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What are the symptoms of circadian What are the symptoms of SWSD?
rhythm disorders? The most common symptoms are insomnia and
In circadian rhythm disorders, there is a continuous or excessive sleepiness. Others include difficulty
occasional disruption of sleep patterns. This disruption concentrating, headaches and lack of energy. Not
is either a malfunction of the internal body clock, or a every shift worker suffers from SWSD, but it is
mismatch between the internal clock and the external important to seek treatment if you are affected
environment regarding timing and length of sleep. to avoid driving accidents, work-related errors,
As a result, those with circadian rhythm disorders increased sick leave and mood problems.
experience insomnia at certain times and excessive
sleepiness at other times. This causes problems func- How is SWSD diagnosed?
tioning at work, school or in social activities. If you are a shift worker and experience any of
these symptoms, you should talk to your doctor. He
How are circadian rhythm disorders diagnosed?
or she will take a medical and sleep history, conduct
Diagnosing a circadian rhythm disorder is challenging
a physical exam and determine if a sleep study, or
and often requires consultation with a sleep specialist,
other testing, is needed.
who will help rule out other sleep and medical disor-
ders. Some circadian rhythm disorders are prone to be
How is SWSD treated?
misdiagnosed as narcolepsy or co-exist with insomnia
or sleep apnea. You may be asked to keep a detailed Shift workers should be educated on the importance of
sleep diary for several weeks. Overnight and daytime prioritizing time for sleep. There are many strategies to
sleep studies also may be needed. help you sleep even during the day time such as:
• Follow regular bedtime rituals
How are circadian rhythm disorders treated?
Treatment options vary based on the type of disorder • Keep a regular schedule even on weekends
and how severely it is affecting your quality of life. • Get seven to eight hours of sleep daily
Options include:
• Ask your family to create a quiet environment during
• Behavior therapy: includes standardizing sleep your sleep time
times, getting regular exercise, and avoiding
• Put a “Do Not Disturb” sign on your door.
caffeine and stimulating activities before bedtime
• Turn your mobile device off
• Bright light therapy: 30- to 60-minute treatments to
reset the circadian clock
PARASOMNIAS
• Medications: such as melatonin, wake-promoting
These disruptive sleep-related disorders arise from
agents and short-term sleep aids
rapid eye movement (REM) sleep or arousals from
• Chronotherapy: adjusting sleep times by one to two non-rapid eye movement (NREM) sleep.
hours per day to shift the sleep cycle
They are characterized by undesirable physical or
What is an example of a circadian rhythm disorder? emotional experiences, such as walking or talking in
Shift work sleep disorder (SWSD) affects people association with specific sleep stages or sleep wake
who frequently rotate shifts or work at night. These transitions.
schedules (usually between 10 p.m. and 6 a.m.)
go against the body’s natural circadian rhythm,
and cause difficulty adjusting to different sleep and
wake schedules.
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CLEVELAND CLINIC | SLEEP DISORDERS | TREATMENT GUIDE
Nightmares: Vivid dreams that can cause feelings of fear, terror and/or
anxiety. Usually, the person is abruptly awakened from REM sleep and
can recall details of their nightmare. Illness, anxiety, loss of a loved one or
medications can cause nightmares.
GO! to Sleep ® open, but the person is actually in a deep sleep. Sleepwalking is common
in children between the ages of 6 to 12 years old, as well as in older
adults. The length of episodes varies, and individuals have little or no
• Daily emails from the program coach Sleep enuresis (bedwetting): When a person is unable to maintain urinary
• Daily articles to help them get the control while asleep. Bedwetting may be primary (from infancy onward) or
most from the program secondary (new onset condition) caused by medical conditions or psychiat-
ric disorders.
• Personal progress charts
• Six specially crafted relaxation How are parasomnias diagnosed?
practices Frequent episodes that are disturbing to sleep or affect the household or
• Motivational tips cause injury require evaluation by a sleep expert. Primary care providers
can diagnose and manage straightforward cases.
• A mobile app for easy sleep-tracking
How are parasomnias treated?
Many parasomnias are more common in children and do not require treat-
ment, as they tend to resolve them in time. However, some parasomnias,
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NARCOLEPSY
Narcolepsy is a neurological disorder that has been linked to reduced
amounts of a neuropeptide called hypocretin in a specific part of the brain
that is important in regulating the sleep-wake cycle. People with narcolepsy
experience excessive daytime sleepiness and uncontrollable episodes of
falling asleep during the day despite adequate sleep. These sudden sleep
“attacks” may occur during any type of activity and at any time of day.
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CLEVELAND CLINIC | SLEEP DISORDERS | TREATMENT GUIDE
• operating motor vehicles and heavy equipment with extreme caution and
only when approved by your doctor.
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(RLS). Leg symptoms are often times described as cause narcolepsy, a neurological disorder associated
more painful (rather than uncomfortable or annoy- with hypersomnia due to a decrease in hypocretin.
ing sensations) in patients with RLS due to peripheral Imaging of the central nervous system, lab work and
neuropathy. Patients with RLS caused by peripheral sleep testing may be needed to help to further assess
neuropathy may respond better to medications that symptoms. Treatment for hypersomnia may include the
are used to treat neuropathy, rather than some of the use of wake promoting agents and ensuring appropriate
other typical RLS medications. A thorough sensory treatment of the underlying neurological disorder.
exam of the legs should be done in every patient with
RLS symptoms to evaluate for peripheral neuropathy. Psychiatric disorders and insomnia: Patients with
Certain labs also may need to be performed to look for depression often report experiencing low mood,
a possible cause of peripheral neuropathy. impaired concentration, loss of interest in previ-
ously enjoyed activities, lack of motivation, appetite
Other neurological disorders and hypersomnia: OSA, changes and sleep disturbances. Sleep disturbances
insomnia and other sleep disorders coexist with a that frequently accompany depression are difficulties
variety of common neurological conditions including falling asleep, difficulties staying asleep, early morning
epilepsy, stroke, Parkinson’s disease, multiple sclerosis, awakenings and unrefreshing sleep. Patients with
traumatic brain injury and dementia that can cause anxiety disorders have feelings of nervousness, difficul-
hypersomnia or excessive daytime sleepiness. The ties relaxing and uncontrolled tension. Insomnia, in
hypersomnia may be due to medication side effects, the form of difficulty falling asleep or difficulty staying
damage to the areas of the brain that regulate wakeful- asleep or nocturnal panic attacks, accompanies half
ness, or a combination of both. Multiple sclerosis and of patients with anxiety. People who abuse alcohol or
traumatic brain injury have additionally been shown to illicit drugs also frequently experience sleep issues.
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CLEVELAND CLINIC | SLEEP DISORDERS | TREATMENT GUIDE
They may use alcohol or drugs to try to treat insom- Children may also undergo a MSLT (multiple sleep
nia, but these substances are not effective. Substance latency test), a series of five daytime naps at two-hour
abuse can ultimately lead to serious health and per- intervals, to diagnose possible narcolepsy. Other tests
formance problems. Proper evaluation includes seeing may include sleep logs and actigraphy (in which a
both sleep and psychiatry/psychology experts. Further small motion detector is worn on the wrist to assess
testing with an overnight sleep study may be needed. sleep-wake rhythms). Occasionally, blood and
Treatment for the insomnia includes treating the under- urine tests, spinal fluid analysis, and genetic tests
lying problem, often times with medications. Cognitive are recommended.
behavioral therapy for insomnia also may be helpful.
How are pediatric sleep disorders treated?
PEDIATRIC SLEEP DISORDERS Treatment depends on the type of disorder and its
Children spend a substantial part of their lives asleep. severity. Some sleep disorders, such as night terrors or
In fact, in infancy and early childhood, the developing sleep walking, are developmental and usually resolve
brain seems to need more time asleep than awake. with time—only requiring intervention if they are
This underscores the importance of sleep to the overall alarming or dangerous in nature.
well-being of a child. Children with sleep disorders may
Other sleep disorders can be treated in a variety of
suffer from lack of adequate sleep time or experience
ways, including the use of continuous positive airway
poor sleep quality, or both.
pressure (CPAP) for obstructive sleep apnea, tonsil and
adenoid surgery, bright light therapy or medication.
What are the symptoms of pediatric sleep disorders?
Behavioral techniques and adjustment of sleep sched-
Sleep disorders may lead to an inability to get up in time
ules can be helpful in managing many sleep disorders.
for school, daytime moodiness, irritability, lack of focus
Psychosocial factors may be either the cause of sleep
in class, and significant behavioral and learning problems.
disorders or the result of sleep disorders. Therefore, it is
In older children and teens, drug and alcohol abuse and
not surprising that psychological, cognitive and behav-
school absenteeism may result. Some sleep disorders
ioral interventions, with or without medications, can be
are serious enough to cause adverse cardiovascular
beneficial in some cases.
and metabolic effects. Children may be misdiagnosed
with mood, attention or motivational problems, which
SLEEP DISORDERS IN THE ELDERLY
entirely miss the true underlying sleep problem.
As you age, there are general changes in sleep pat-
How are pediatric sleep disorders diagnosed? terns, including spending more time in light sleep,
If your child has difficulty sleeping, discuss the matter having more disrupted nighttime sleep, having more
with your pediatrician. Your child may benefit from a health conditions that negatively affect sleep quality
referral to a pediatric sleep doctor to further investigate and quantity, sleeping less, and taking more daytime
the problem. A sleep specialist will obtain a thor- naps that can cause an irregular sleep-wake cycle.
ough medical and sleep history, as well as conduct However, sleep disorders, such as insomnia, sleep
a physical exam to identify any medical problems. In apnea, restless legs syndrome (RLS), and REM behav-
some cases it may be necessary to observe your child ior disorder, also are associated with aging.
overnight in a sleep laboratory while a polysomnogram
is conducted. This test records brain activity, eye move- What are the common causes of sleep problems
ments, muscle activity, tissue oxygen, carbon dioxide, in older adults?
oro-nasal (mouth and nose) airflow and breathing pat- Common causes of sleep problems in older adults
terns during sleep. include poor sleep habits, medical illness, medicines,
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However, if you are noticing your lack of sleep is affect- What is a PAP Nap?
ing your daytime activities, you should try to determine A PAP Nap is a daytime study for patients who have
the cause of your sleeplessness and take steps to get anxiety about starting PAP therapy, are claustropho-
better rest. Consult a sleep expert if you have concerns bic, or are having difficulty tolerating PAP therapy. The
about your sleeping patterns or the possibility of having patient works one-on-one with a sleep technologist,
a sleep disorder. He or she will conduct a medical and using relaxation, deep breathing and desensitization
sleep history, physical exam and may order an over- techniques to try to become more comfortable with PAP
night sleep study, called a polysomnogram, or other therapy. The session lasts for up to several hours with
additional testing. the expectation that the patient will become comfortable
enough with the PAP therapy to fall asleep. Minimal
SLEEP STUDIES bioelectrical electrodes are used during these studies.
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CLEVELAND CLINIC | SLEEP DISORDERS | TREATMENT GUIDE
1978
Cleveland Clinic’s Sleep Disorders Center, established in 1978,
was among the first in the nation dedicated to the diagnosis and
treatment of sleep disorders in people of all ages.
Call 216.636.5860 or toll-free 866.588.2264 to make an appointment with any of our experts
in Cleveland Clinic’s Sleep Disorders Center.
To speak with a sleep technologist after hours (5 p.m. to 8 a.m.), please call 216.444.8536
or toll-free, 800.223.2273, ext. 48536.
Our MyConsult service offers secure online second opinions for patients who cannot travel to
Cleveland. Through this service, patients enter detailed health information and mail pertinent test
results to us. Then, Cleveland Clinic experts render an opinion that includes treatment options
or alternative recommendations regarding future therapeutic considerations. To learn more about
MyConsult, please visit clevelandclinic.org/myconsult.
Get wellness tips, healthy gourmet recipes, essential health news and free downloadable health
guides straight to your inbox. Sign up today at clevelandclinic.org/HEnews.
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Our staff
Nancy Foldvary-Schaefer, Ketan Deoras, MD Megan Lavery, PsyD Fred Royce Jr., MD
DO, MS Adult Sleep Disorders Adult Sleep Disorders Children & Adolescent Sleep
Director, Sleep Disorders Center Neurology Bariatric and Metabolic Institute Disorders, Pediatric Pulmonary
Adult Sleep Disorders Medicine
Adult Epilepsy
Loutfi Aboussouan, MD Ralph Downey, III, PhD Reena Mehra, MD, MS Jessica Vensel Rundo, MD, MS
Adult Sleep Disorders Adult Sleep Disorders Director, Sleep Disorders Research Adult Sleep Disorders
Pulmonary, Allergy and Critical Adult Sleep Disorders Neurology
Care Medicine Pulmonary
Charles Bae, MD Michelle Drerup, PsyD Douglas Moul, MD, MPH Raymond Salomone, MD
Adult Sleep Disorders Sleep Disorders Center Adult Sleep Disorders Adult Sleep Disorders
Neurology Psychology Psychiatry, MPH Pulmonary, Allergy and
Critical Care Medicine
CLEVELANDCLINIC.ORG/SLEEP 15
Locations
Cleveland Clinic’s Sleep Disorders Center offers services at multiple locations throughout Northeast Ohio:
The Cleveland Clinic Sleep Disorders Center at Fairhill The Cleveland Clinic Sleep Disorders Center at Lutheran
11203 Stokes Blvd. Lutheran Hospital
Cleveland, OH 44104 1730 West 25th St.
• Adult and pediatric sleep laboratory Cleveland, OH 44113
• Outpatient clinic • Home sleep testing
• Home sleep testing
The Cleveland Clinic Sleep Disorders Center at Medina
The Cleveland Clinic Sleep Disorders Center Motel 6
at Beachwood 3122 Eastpointe Drive
Fairfield Inn & Suites by Marriott Medina, OH 44256
3750 Orange Place • Routine overnight sleep studies for patients age 8 and older
Beachwood, OH 44122 • Home sleep testing
• Routine overnight sleep studies for patients age 8 and older
The Cleveland Clinic Sleep Disorders Center at Mentor
• Home sleep testing
Holiday Inn Express
The Cleveland Clinic Sleep Disorders Center at Hillcrest 5785 Heisley Road
Hillcrest Hospital Mentor, OH 44060
6780 Mayfield Road • Routine overnight sleep studies for patients age 8 and older
Mayfield Hts., OH 44124 • Home sleep testing
• Routine overnight sleep studies for patients age 8 and older
The Cleveland Clinic Sleep Disorders Center
• Home sleep testing
at North Olmsted
The Cleveland Clinic Sleep Disorders Center The Courtyard by Marriott
at Independence Airport/North
Courtyard Marriott 24901 Country Club Blvd.
5051 West Creek Road North Olmsted, OH 44070
Independence, OH 44131 • Routine overnight sleep studies for patients age 8 and older
• Routine overnight sleep studies for patients age 8 and older
Cleveland Clinic Superior Medical Sleep Center
1959 Cooper Foster Park Road
Lorain, OH 44053
• Routine overnight sleep studies for patients age 8 and older
• Home sleep testing