Circadian Rhythm Disorder
Definition
Circadian rhythm disorder is a disruption of the body's internal clock, which regulates the sleep-wake cycle and various physiological processes. This disorder can result from external factors, such as shift work or jet lag, or internal factors, such as genetic mutations or hormonal imbalances.
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Sleep Medicine Program
We care for patients with a broad spectrum of sleep disorders, including sleep apnea, insomnia, narcolepsy, and restless leg syndrome. We are accredited by the American Academy of Sleep Medicine, and evaluate, diagnose, and treat these disorders with a coordinated approach. We know that a good night of sleep matters. Other issues we treat include: Snoring Sleep apnea-related seizure disorders Circadian and shift work-related disorders Parasomnias, such as sleep walking and talking, and abnormal behavior during sleep Our internationally recognized physicians are board-certified in pulmonary critical care medicine or neurology. They also have additional certifications in sleep medicine. As an interdisciplinary program, we work closely with specialists in otolaryngology (ENT), neurology, cardiology, psychology, dentistry, and bariatric surgery. We offer a state-of-the art lab testing system to pinpoint patients’ sleep problems, as well as home sleep-testing systems. At the West Haven VA, we care for veterans, who frequently struggle with sleep issues related to posttraumatic stress disorder and traumatic brain injury. Our VA program includes six in-hospital monitoring beds and 30 home sleep-testing units. Through our Sleep Center in the Department of Pediatrics, we treat sleep disorders in children, and manage patients with congenital disorders that impact breathing during sleep. We have a three-bed testing unit in Yale New Haven Hospital specifically designed for children that includes dedicated staff who are experienced in dealing with children and their sleep disorders.Yale Pediatric Neuromuscular Program
The Yale Pediatric Neuromuscular Program is Connecticut’s only pediatric multidisciplinary program and one of the only five in New England supported by the Muscular Dystrophy Association (MDA). Families of children with muscular dystrophy or other childhood neuromuscular disorders see a multidisciplinary team that includes a neurologist, pediatric cardiologist, pediatric pulmonologist, pediatric orthopedic surgeon, neuromuscular geneticist, pediatric physical and occupational therapist, pediatric psychologist, pharmacist, social worker, dietitian, and care coordinator. There is easy access to other relevant subspecialties such as endocrinology, gastroenterology, and general surgery. Here is a short list of various neuromuscular disorders seen in our clinic: Duchenne and Becker Muscular Dystrophy Spinal Muscular Atrophy Myotonic Dystrophy Limb Girdle Muscular Dystrophies Congenital Myopathies Congenital Muscular Dystrophy Metabolic Myopathies Mitochondrial Myopathies Dermatomyositis Myasthenia Gravis Congenital Myasthenic Syndromes Charcot Marie Tooth Disease CIDP and related disorders Other motor neuron disorders Spastic Paraplegia Arthrogryposis The program offers comprehensive diagnostic evaluations by a fellowship-trained and board-certified pediatric neuromuscular specialist and a neuromuscular geneticist, both with experience in pediatric neuromuscular diseases. State-of-the-art, comprehensive genetic testing, muscle biopsy, pediatric EMG (with or without sedation), and other diagnostic tools are available. We are the only center in the state that offers sedated pediatric EMG. Basic diagnostic imaging, pulmonary function tests, and echocardiography occur on-site. Cardiac MRI is available for our patients on the main campus. The state-of-the-art sleep laboratory is run by our pediatric pulmonologist. The program believes in a holistic and customized approach to caring for patients with various neuromuscular disorders. The program is located at Yale New Haven Children’s Hospital’s Pediatric Specialty Center at One Long Wharf Drive, which is a short drive from Yale New Haven Hospital and has ample free parking and easy access for impaired individuals. The program is recognized as an SMA (Spinal Muscular Atrophy) Care Center by CureSMA and offers all three FDA-approved treatments for SMA (Spinraza®, Zolgensma®, and Evrysdi®). A well-established Spinraza program runs in collaboration with Dr. Michele Johnson of Yale Interventional Radiology and is coordinated by Louise Lanouette, RN. We are the only center in Connecticut that provides access to Spinraza to patients of all ages. The program is also recognized as a Certified Duchenne Care Center by Parent Project Muscular Dystrophy (PPMD). We provide access to all FDA-approved treatments for Duchenne Muscular Dystrophy and other neuromuscular disorders, including gene therapy. The program participates in several clinical trials for Duchenne Muscular Dystrophy and Spinal MusPediatric Sleep Medicine Program
Yale is the regional leader in diagnosing and treating a wide range of sleep problems in infants, toddlers, children, and teens. Sleep problems can be linked to respiratory issues, or may stem from other medical, behavioral, or developmental concerns. We are dedicated to working with each family to locate the source of the child’s sleep issues, and to find a way to better sleep. No matter the cause, we will deliver comprehensive, compassionate care for each child’s sleep challenges in a warm, child-friendly environment. Our staff includes physicians who are board-certified in pediatrics, pediatric pulmonology, and sleep medicine. We are the only center in the state staffed exclusively with board-certified specialists. In addition to diagnosis and treatment of sleep issues, we provide support for patients in need of oxygen and ventilators, and continuous positive airway pressure (CPAP) titration and management. Nonrespiratory sleep complaints we treat include: Insomnia, including difficulties falling asleep and nocturnal awakenings Excessive daytime sleepiness Restless leg syndrome Sleep disturbance, including parasomnias (sleep walking, night terrors, nightmares, and bed wetting) Narcolepsy Respiratory sleep problems include: Obstructive sleep apnea with snoring, noisy breathing, disrupted sleep, or daytime sleepiness and/or attention problems Life-threatening eventsin infancy Respiratory complications of neuromuscular disease, including muscular dystrophy Pre- and post-operative evaluation for scoliosis, spina bifida, cleft palate, and other neurosurgical and craniofacial disorders