Sleep disorder · Brussels

Understanding and treating sleep apnoea.

Sleep apnoea causes repeated pauses in breathing during the night, leading to non-restorative sleep and increased cardiovascular risk. At the CIRCAE sleep centre in Woluwe-Saint-Lambert (Brussels), a sleep physician handles the screening, diagnosis and treatment of sleep apnoea.

Warning signs

Our goal

Restore restorative sleep

·

Improve the quality and regularity of sleep

·

Reduce cardio-neuro-vascular risks

·

Restore daytime energy and alertness

·

Achieve a lasting improvement in quality of life

Understanding

What is sleep apnoea?

Sleep apnoea, or obstructive sleep apnoea-hypopnoea syndrome (OSA), is characterised by repeated pauses in breathing during the night. With each apnoea, the upper airway narrows partially or fully: breathing stops for a few seconds, oxygen levels drop and the brain triggers a brief awakening to resume breathing. These interruptions, sometimes several hundred a night, fragment sleep without the person being aware of it.

Very common and widely underdiagnosed, sleep apnoea affects both men and women, particularly after the age of 40, and in cases of excess weight, heavy snoring or high blood pressure. Early screening and care help restore restorative sleep and reduce the associated risks.

Signs & risks

Recognising the signs

Certain symptoms, by day and by night, should raise the suspicion of sleep apnoea and prompt a consultation.

During the night

Night-time symptoms

Loud snoring, breathing pauses witnessed by a partner, waking with a choking sensation, restless sleep, frequent night-time urination (nocturia).

During the day

Daytime symptoms

Daytime sleepiness, fatigue on waking, morning headaches, difficulty concentrating and remembering, irritability, reduced libido.

Health risks

Why treat it

Left untreated, sleep apnoea increases the risk of high blood pressure, cardiovascular events, stroke, type 2 diabetes and accidents related to sleepiness.

Diagnosis

Screening apnoea with precision

Diagnosis combines a specialist consultation with a sleep recording, chosen according to your clinical profile. See the CIRCASLEEP sleep assessment →

First sleep consultation

Consultation · Doctor + Neuropsychologist

A meeting with two sleep experts to assess the type of disorder and the need for an in-depth assessment.

  • Analysis of your symptoms (fatigue, sleepiness, insomnia, snoring, night-time awakenings)
  • Assessment of medical history, treatments and sleep hygiene
  • Identification of behavioural, psychological and medical factors
  • Referral to the most relevant sleep examination
  • Initial personalised care

Overnight oximetry: O2Fellow

Home examination · Non-invasive

A simple examination carried out at home using a discreet finger ring. It assesses overnight desaturations and the cardiovascular risk associated with apnoea.

  • Oxygen saturation (SpO₂)
  • Heart rate and pulse wave
  • Hypoxic burden: a key indicator of cardiovascular risk

Objectives

  • Detect overnight desaturations
  • Estimate cardiovascular risk
  • Refer to a more comprehensive examination if necessary
O2Fellow sensor
O2Fellow in use

Overnight polygraphy

Home examination · Respiratory

Recording of respiratory and cardiac parameters during sleep. Primarily intended for the screening of obstructive sleep apnoea.

  • Respiratory airflow (nasal and oral)
  • Thoracic and abdominal effort
  • Oxygen saturation, heart rate
  • Snoring and body position

Objectives

  • Screen for mild to severe apnoea
  • Quantify apnoeas and hypopnoeas
  • Monitor the effectiveness of CPAP or oral appliance treatment

Full polysomnography

Gold-standard examination · Comprehensive

The most comprehensive sleep examination. It accurately diagnoses respiratory disorders, severe insomnia, parasomnias and restless legs syndrome.

  • EEG brain activity: sleep stages
  • Eye movements (EOG) and muscle activity (EMG)
  • Breathing, saturation, heart rhythm (ECG)
  • Snoring and body position

Results

  • A report including total duration, sleep stages, apnoea/hypopnoea index (AHI), saturation and hypoxic burden
The treatments

Treating sleep apnoea

Depending on severity, treatment relies on continuous positive airway pressure (CPAP), a mandibular advancement device and lifestyle measures, prescribed and monitored by our team.

CBT-I therapy

Gold-standard treatment · Chronic insomnia

Cognitive behavioural therapy for insomnia. A structured programme of 6 to 8 individual or group sessions (45–60 min) aimed at restoring natural sleep without dependence on sleeping pills.

CPAP

Gold-standard treatment · Moderate to severe apnoea

Delivers pressurised air during sleep to keep the airways open. Eliminates apnoeas and reduces snoring and cardiovascular risk.

Mandibular advancement device (MAD)

Oral appliance · Snoring & mild to moderate apnoea

The Oniris+ device holds the lower jaw forward to prevent airway obstruction. Thermo-mouldable, adjustable and comfortable.

Light therapy · AYO

Non-pharmacological approach · Circadian rhythm

AYO glasses emit controlled blue light (20 min/day in the morning). The AYO+ models combine stimulating blue light and relaxing red light to regulate the body clock.

AYO glasses in use
AYO glasses product

Explore the assessments