Doctor Verneuil grew up in Orange County and played high school water polo. He attended UCLA for his undergraduate degree in Kinesiology. Doctor Verneuil graduated from Mayo Medical School. He completed six years of Internship and Residency training in head and neck surgery at UCLA. He is Board Certified with the American Board of Otolaryngology.
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
Sleep related breathing disorders are a group of
disorders that affect our breathing while we are asleep, and are characterized
by disruptions of normal breathing patterns that only occur during sleep.
Therefore, the person with the disorder may be the last to know he or she has a
problem. Sleep related breathing disorders constitute a subset of the broad group of sleep
disorders that include many other disorders such as insomnia (difficulty
sleeping), hypersomnias (inappropriately falling asleep, for example,
narcolepsy), parasomnias (activities during sleep, for example, sleepwalking and
sleep terrors), and sleep related movement disorders (for example, restless leg
syndrome). The most common sleep related breathing disorders are snoring and
sleep apnea.
Why do we sleep?
This is a complex topic that we only partially
understand. Mammals, reptiles, birds, and even fruit flies have been observed
sleeping. A manatee can sleep with one side of its brain while the other side is
awake and alert. Sleeping in this way avoids a long period of unconsciousness,
during which it would be very vulnerable. Humans typically need 6-8 hours of
sleep every night, but individuals vary in their need for sleep. During sleep,
we rest and repair our muscles and organize our thoughts and memories.
Therefore, if we become sleep deprived, we feel both physically fatigued and
mentally exhausted. Many studies show that sleep deprivation causes a decrease
in problem solving ability, attention, and manual reflex times.
What are the stages of sleep?
Sleep stages can be measured by monitoring the
electrical impulses within the brain, often termed brain waves. These electrical
impulses, or brain waves can be monitored
with an electroencephalogram
(EEG). Sleep can be broken up into four stages and REM (rapid eye movement)
sleep. Stage 1 sleep is the most superficial and stage 4 is the deepest.
Stage 1 and 2 sleep are both considered to be light sleep, while stage 3 and 4
sleep are both deeper, more restorative sleep. These stages are important for
the body to feel well. REM sleep is the sleep
stage in which we typically dream. During REM, the brain sends signals to the
muscles to relax, so we do not "act out" our dreams. The relaxation of muscles
in REM sleep can sometimes worsen sleep related breathing disorders like snoring
and sleep apnea. We typically spend about 50% of our sleep in stages 1 and 2, 25% in
stages 3 and 4, and 25% in REM sleep.
For additional information please visit the Sleep Center.
Sleep apnea is defined as a reduction or cessation of breathing during sleep. The three types of sleep apnea are central apnea, obstructive apnea (OSA), and a mixture of central and obstructive apnea. Central sleep apnea is caused by a failure of the brain to activate the muscles of breathing during sleep. OSA is caused by the collapse of the airway during sleep. OSA is diagnosed and evaluated through patient history, physical examination and polysomnography. There are many complications related to obstructive sleep apnea. Treatments are surgical and non-surgical.
Snoring, like all other sounds, is caused by vibrations that cause particles in the air to form sound waves. While we are asleep, turbulent air flow can cause the tissues of the nose and throat to vibrate and give rise to snoring. Any person can snore. Snoring is believed to occur in anywhere from 30% of women to over 45% of men. People who snore can have any body type. In general, as people get older and as they gain weight, snoring will worsen. Snoring can be caused by a number of things, including the sleep position, alcohol, medication, anatomical structure of the mouth and throat, stage of sleep, and mouth breathing.
A number of vital tasks carried out during sleep help maintain good health and enable people to function at their best. Sleep needs vary from individual to individual and change throughout your life. Not getting enough sleep can hurt memory performance, health, and your mood.
Insomnia is the perception or complaint of inadequate or poor-quality sleep because of difficulty falling asleep; waking up frequently during the night with difficulty returning to sleep; waking up too early in the morning; or unrefreshing sleep. Secondary insomnia is the most common type of insomnia. Treatment for insomnia include lifestyle changes, cognitive behavioral therapy, and medication.
Sleepwalking is a condition in which an individual walks or does other activities while asleep. Factors associated with sleepwalking include genetic, environmental, and physiological. Episodes of sleepwalking may include quiet walking to agitated running. Conditions that may have similar symptoms of sleepwalking, but are not include night terrors, confusional arousals, and nocturnal seizures. Treatment of sleepwalking generally include preventative measures. Medication may be prescribed if necessary.
A deviate septum is a condition in which the bone and cartilage that divide the nasal cavity of the nose in half (nasal septum) is significantly off center or crooked. The causes of a deviated septum can be congenital, or develop after a trauma or injury to the nose. Symptoms of a deviated septum include nasal congestion, recurrent sinus infections, nosebleeds, headache, facial pain, postnasal drip, snoring, and loud breathing. A deviated septum can be relieved with medications, and if necessary surgery, called a septoplasty.
Hypersomnia is a condition where a person has excessive daytime sleepiness and trouble staying awake during the day. Treatment for hypersomnia includes medication, CPAP machines, and lifestyle changes.
When sleepiness interferes with daily routines and activities, or reduces the ability to function, it is called "problem sleepiness." A person can have problem sleepiness without realizing it. Symptoms of problem sleepiness include: consistently don't get enough sleep, or poor quality sleep, fall asleep while driving, struggle to stay awake when inactive (like watching TV or reading), have difficulty paying attention or concentrating at work, school, or home, have poor performance problems at work or school, have difficulty remembering things, have slowed responses, have difficulty controlling your emotions, and/or if you have to take naps on most days.
Sleep needs in children and teenagers depends on the age of the child. Sleep disorders in children such as sleep apnea, parasomnias, confusional arousals, night terrors, nightmares, narcolepsy, and sleepwalking can effect a child's or teen's sleep. Healthy sleep habits and good sleep hygiene can help your infant, toddler, preschooler, tween, or teenager get a good night's sleep.
Insomnia is defined as difficulty initiating or maintaining
sleep, or both,
despite adequate opportunity and time to sleep, leading to impaired daytime
functioning. Insomnia may be due to poor quality or quantity of sleep.
Insomnia is very common and occurs in 30% to 50% of the general population.
Approximately 10% of the population may suffer from chronic (long-standing)
insomnia.
Insomnia affects people of all ages including children, although it is more
common in adults and its frequency increases with age. In general, women are
affected more frequently than men.
Insomnia may be divided into three classes based on the
duration of symptoms.
Insomnia lasting one week or less may be termed transient
insomnia;
short-term insomnia lasts more than one week but resolves in less
than three weeks; and
long-term or chronic insomnia lasts more than three we...
Sleep RSS
Healthy Living Tips
This site complies with the