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Sleep Center

Having a child with restless sleep can be a cause for great concern. Depending on the cause, disturbed sleep may interfere with your child's health, ability to learn and daily life. Cook Children's Sleep Center in Fort Worth offers help for children with abnormal sleep symptoms such as snoring, sleepwalking or bedwetting.

Left untreated, kids with sleep disorders may develop serious, and even life-threatening conditions. At Cook Children's, we specialize in the diagnosis and treatment of sleep disorders in kids. Our pediatric sleep specialists are devoted to performing procedures according to the highest medical standards using integrated sleep software for the diagnosis and management of pediatric sleep-related disturbances.

accredited by the American Academy of Sleep Medicine (AASM)Our Sleep Center is proudly accredited by the American Academy of Sleep Medicine (AASM).

Meet our team

We have 6 highly trained polysomnography technologists on staff, who are led by Dr. Hilary Pearson. This level of expertise assures that your child will receive the highest quality of diagnostic recording and testing.

Dr. Pearson works closely with other Cook Children's specialists and the Sleep Center staff to provide clinical consultation and comprehensive management of pediatric sleep-related disorders.

Hilary Pearson, M.D.Hilary Pearson, M.D.
Medical Director, Sleep Laboratory
Keisha Shaheed, D.O.Keisha Shaheed, D.O.
Pulmonologist, Sleep Laboratory
Amy GrayAmy Gray
Sleep Lab Manager
Rhanda TreaceTiffney Finley
Sleep Center Coordinator
Monique ButlerMonique Butler
Sleep Technician
Michael SneedMichael Sneed
Sleep Technician
Deborah AlvarezDeborah Alvarez
Sleep Center Nurse
Trudy MorrisTrudy Morris
Sleep Center Coordinator
Jill FintoJill Finto
Sleep Center Coordinator
Heather Burgett-CarrHeather Burgett-Carr
Sleep Technician
Jonathan McNealJonathan McNeal
Sleep Technician
Rhanda TreaceRhanda Treace
Sleep Technician
Zach DevineyZach Deviney
Sleep Technologist
Denise OgrodnikDenise Ogrodnik
Sleep Technologist

Examples of conditions treated

  • Apnea of infancy
  • Sleep apnea (obstructive and central)
  • Periodic limb movements
  • REM behavior disorder (RBD)
  • Narcolepsy
  • Nocturnal seizures

Clinical testing

  • CPAP/BiPAP titrations
  • O2 titrations
  • Split night studies
  • Diagnostic sleep studies

Symptoms and diagnosis of children's sleep disorders

Few things worry parents as much as a child who can't get restful sleep. Snoring, gasping or pauses in breathing can rob children of the rest they need and may even be signs of more serious problems. Children show symptoms of poor sleep differently than adults.

Children with poor sleep may exhibit:

  • Hyperactivity
  • Poor grades
  • Daytime sleepiness
  • Behavioral problems
  • Difficulty concentrating

To diagnose sleep problems, our sleep team evaluates your child's sleep history. In some cases, a comprehensive sleep study is needed to observe your child while he or she is sleeping. The results of your child's study will help us determine the appropriate interventions.

Barriers to good sleep include:

  • Sleep apnea
  • Insomnia
  • Sleep movement disorder
  • Circadian rhythm disorder

Preparing children for a sleep study

If your child is scheduled for a sleep study, you'll typically need to arrive at the Cook Children's Sleep Center around 6:30 p.m. This gives your child time to get comfortable with the environment before beginning the study. The study usually begins between 8 and 9 p.m.

We recommend that you follow your child's normal dinner and bedtime routine prior to arriving for the sleep study. Please plan to stay with your child in the Sleep Center during the procedure. Due to space limitations, we ask that only one parent or legal guardian stay with your child.

  • Bring comfortable sleepwear for your child
  • Bring diapers, formulas, snacks or other items your child normally needs
  • Bring any medications or treatments that your child normally takes
  • Bring any toiletries needed – showers are available to use prior to leaving
  • Feel free to bring your child's favorite items (toy, blanket) especially if your child needs it for sleep
  • NO CAFFEINE (coffee, tea, chocolate, etc.) after 1 p.m. the afternoon of the study
  • Children staying in the center for a day study are provided breakfast and lunch

The study takes about 8 hours and then you and your child may go home.

For the study, special non-invasive electrodes and monitors are attached to your child's face, head and arms prior to sleep. A polysomnography technician monitors your child's breathing, heart rate, oxygen level, sleep stages and chest and abdominal movement.

The technician tallies the results to pinpoint what irregularities were present and measures their severity.

Is my child a candidate?

Do you think your child has a sleep disorder? Take the assessment below.

  • Does your child snore loudly (louder than talking or loud enough to be heard through closed doors)?
  • Does your child often feel tired, fatigued, or sleepy during the daytime, even after a "good" night's sleep?
  • Does your child stop breathing during sleep?

If you answer "Yes" to any of these questions, we recommend you contact one of our sleep specialists to learn more.

In addition, some other symptoms for sleep disorders include:

  • Morning headaches
  • Irritability or moodiness
  • Poor concentration
  • Hypertension
  • Heartburn at night
  • Awakening frequently to urinate
  • Awakening with a sore throat
  • Frequently awakening with nasal congestion

About sleep apnea

Brief pauses in breathing during sleep are normal. But when breathing stops often or for longer periods, it's called sleep apnea.

When someone has sleep apnea, oxygen levels in the body may fall and sleep can be disrupted. You might think that only older people have sleep apnea, but kids and teens can develop it, too.

Sleep apnea happens when a person stops breathing during sleep ("apnea" comes from a Greek word meaning "without wind"). It is usually caused by something obstructing, or blocking, the upper airway. This is known as obstructive sleep apnea (OSA).

OSA is common, serious conditions that can make kids miss out on healthy, restful sleep. If left untreated, obstructive sleep apnea can lead to learning, behavior, growth, and heart problems. In very rare cases, it can even be life threatening.

Less commonly, sleep apnea can happen when someone doesn't get enough oxygen during sleep because the brain doesn't send signals to the muscles that control breathing. This is called central sleep apnea. Developmental abnormalities or neurologic diagnoses that affect the brain increase the risk of developing this type of apnea.

Causes

When we sleep, our muscles relax. This includes the muscles in the back of the throat that help keep the airway open. In obstructive sleep apnea (OSA), these muscles can relax too much and collapse the airway, making it hard to breathe.

This is especially true if someone has enlarged tonsils or enlarged adenoids (germ-fighting tissues at the back of the nasal cavity), which can block the airway during sleep. In fact, enlarged tonsils and adenoids are the most common cause of OSA in kids.

Risk factors for the development of OSA include:

  • A family history of obstructive sleep apnea
  • Being overweight
  • Certain medical conditions, such as Down syndrome or cerebral palsy
  • Defects in the structures of the mouth, jaw, or throat that can narrow the airway
  • A large neck (17 inches or more in circumference for men; 16 inches for women)
  • A large tongue, which can fall back and block the airway during sleep

Post-evaluation follow-up

At Cook Children's, teamwork goes beyond our walls. We work closely with your child's referring doctor, providing a follow-up plan and recommendations for treatment from a board-certified pediatric sleep specialist. Our goal is to work closely with you and your child's doctor to help ensure the best results and get your child back to the business of being a kid.

Insurance

Health insurance companies cover the cost of testing for sleep disorders and often pay for the equipment necessary for prevention and treatment. Please be sure to check with your insurance provider for details about your coverage.

Cook Children's Insurance Plans

Cancellations

Please call the Sleep Center 24 hours before your appointment for any time changes or cancellations. This is very important due to the number of people waiting to schedule sleep studies.

  • Call 682-885-6299 between the hours of 8:30 a.m. – 5 p.m., or
  • Call 682-885-4200 after 5 p.m.

Also, if your appointment isn't confirmed 24 hours in advance, we may need to reschedule you for the next available opening.

Location

Cook Children's Sleep Center is located in the Dodson Specialty Clinics building, on the 4th floor.

You may park in the 7th Ave parking garage, located on the corner of 7th Ave and Pennsylvania. Be sure and keep the parking ticket and a Sleep Technologist can validate it for you. You will register between 6-6:30 p.m. at "Registration 1" (please print attached map). After you have registered one of the sleep techs will come and get you.

Cook Children's Sleep Center
1500 Cooper St., 4th floor
Fort Worth, TX 76104
682-885-6299 phone

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