Concierge sleep neurology · London
Neurological sleep study (polysomnography), in-lab overnight PSG for parasomnias, REM behaviour disorder and complex sleep.
A neurology-led in-lab polysomnography (PSG) records EEG, EOG, EMG, ECG, respiration and video overnight — for parasomnias, REM sleep behaviour disorder, narcolepsy work-up (with MSLT), sleep-related epilepsy and complex sleep disorders.
Why patients choose us
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Neurology-led sleep lab
A consultant neurologist and sleep physician co-report every study — the montage is neurological, not just respiratory.
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Full in-lab montage
EEG, EOG, EMG, ECG, respiration and video overnight — the diagnostic detail a home sleep test cannot give.
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Independent, and free
We are paid by no clinic, so the recommendation is impartial and costs you nothing.
Key facts
Neurological PSG, at a glance.
Six things worth knowing before you book — what the study is, what it captures, and who signs the report.
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Definition
In-lab overnight sleep study with a full neurological montage (PSG).
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What is recorded
EEG, EOG, EMG, ECG, respiration and synchronised video.
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Who reports it
Consultant neurologist and sleep physician, co-reporting.
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What it diagnoses
Parasomnias, REM sleep behaviour disorder, narcolepsy (with next-day MSLT).
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Vs home testing
Complements home sleep apnoea tests — for complex, neurological or refractory cases.
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Team
Multi-disciplinary sleep-medicine team: neurology, respiratory, psychology, physiology.
The problem
A sleep study is only as good as its montage — and its reporter.
Home sleep tests are excellent for straightforward OSA. For parasomnias, RBD, seizures and narcolepsy you need EEG, EMG and video — and a neurologist reading them.
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Acting out your dreams?
We arrange in-lab PSG with a neurology-led RBD pathway.
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Sleepy despite treated OSA?
We add MSLT to the PSG to look for narcolepsy or idiopathic hypersomnia.
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Nocturnal events, unexplained?
Full-montage EEG PSG with video separates seizures from parasomnias.
The journey
From consultation to structured plan — what happens, in order.
A neurology-led pathway from first message to the final report.
Phase 1 · Before the study
Consultation and lab booking
Phase 2 · In the lab
Overnight recording, 8pm–7am
Phase 3 · After
MSLT and reporting
- 01
Before
Sleep-medicine consultation
A structured neurology-led sleep consultation to decide whether PSG (and MSLT) is the right next step.
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Before
We arrange the lab admission
Typically within 1–2 weeks. Insurer pre-authorisation handled, admission paperwork sent in advance.
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In the lab
Sleep-lab admission at 8–9pm
You arrive in the evening. Private room, clinical sleep environment, bring your usual bedtime routine.
- 04
In the lab
Full-montage sensors applied
A sleep physiologist applies EEG, EOG, EMG, ECG and respiratory sensors — about 45 minutes, painless.
- 05
In the lab
Overnight recording
You sleep as normally as possible. Synchronised video and continuous physiology are recorded through the night.
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After
MSLT next day (if indicated)
For suspected narcolepsy or idiopathic hypersomnia, a Multiple Sleep Latency Test runs across the following day.
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After
Report and structured plan
Co-reported by sleep physician and neurologist — with a structured management plan and onward pathway.
Typical end-to-end: 2–4 weeks. Report turnaround: 5–10 working days.
What it shows
When a neurological PSG is the right test.
The presentations where in-lab PSG (and MSLT) answers a question a home study cannot — and where the red flags point to a neurology pathway.
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Obstructive sleep apnoea (AHI)
Full apnoea–hypopnoea index with event-by-event scoring in every sleep stage.
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Central sleep apnoea
Central events characterised alongside cardiac and neurological context.
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REM sleep behaviour disorder
Loss of REM atonia on chin and limb EMG, correlated with video — a neurology-defining finding.
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Nocturnal seizures
EEG montage catches interictal or ictal activity that home testing cannot.
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Periodic limb movements
Quantifies PLMS index and its impact on sleep architecture.
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Narcolepsy (with MSLT)
Overnight PSG plus next-day MSLT confirms mean sleep latency and SOREMPs.
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Idiopathic hypersomnia
Objective evidence of excessive daytime sleepiness with normal nocturnal architecture.
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Red flag: RBD with alpha-synucleinopathy — neurology pathway
RBD is a prodrome of Parkinson’s and DLB — we route directly to neurology, not sleep alone.
Red flags we escalate
- RBD (Parkinson’s / DLB precursor)
- Cataplexy with hypersomnia (narcolepsy type 1)
- Severe OSA with heart failure
- Nocturnal seizures
- Obesity hypoventilation syndrome
- Post-COVID sleep disturbance
- Neurodegenerative sleep symptoms
- Idiopathic hypersomnia with disability
- Poor CPAP adherence with ongoing symptoms
Study types
Not all sleep studies are the same.
What each option on your referral is actually for.
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Neurological in-lab PSG
Full-montage overnight polysomnography with EEG, EOG, EMG, ECG, respiration and video.
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PSG + MSLT (narcolepsy work-up)
Overnight PSG followed by daytime Multiple Sleep Latency Test — the diagnostic standard for narcolepsy.
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Extended EEG PSG
Additional EEG channels for suspected nocturnal seizures or sleep-related epilepsy.
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PSG with CPAP titration
Diagnostic PSG followed by in-lab CPAP or ASV titration during the same admission.
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PSG with capnography
Transcutaneous CO₂ added for obesity hypoventilation and neuromuscular sleep disorders.
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Paediatric PSG
Adapted montage and environment for children with parasomnias or suspected sleep apnoea.
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Post-treatment PSG
Repeat study to assess response after CPAP, ASV, medication or surgical intervention.
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Complex sleep work-up
PSG combined with sleep-medicine consultation and structured onward pathway.
Our vetted London network
A small panel of sleep labs, we picked them.
Neurology-led sleep units across central London. Not listed publicly — introductions are made privately, once we understand your case.
Selection criteria
How we choose every sleep unit in our network.
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Consultant neurologists and sleep physicians co-reporting each study
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AASM-compliant scoring by accredited sleep physiologists
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Full neurological montage (EEG, EOG, EMG, ECG, respiration, video)
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Onward neurology, respiratory or psychology pathway for every finding
Safety and eligibility
A non-invasive test — with a few practical caveats.
The study itself is safe and painless. The important points are what to bring, what to expect, and which symptoms need a neurology route first.
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Non-invasive, no radiation
Surface electrodes and belts only — no needles, no radiation, no dye.
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Take your usual medication
Continue prescribed medication unless your sleep physician has said otherwise in advance.
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Bring your bedtime routine
Pyjamas, toothbrush, book — a normal night is a better diagnostic night.
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Eat and drink normally
A light evening meal is fine; avoid caffeine and alcohol on the study day.
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Cataplexy is a neurology emergency
Sudden episodes of muscle weakness with hypersomnia need urgent neurology review, not just a sleep clinic.
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RBD is a neurological signal
Acting out dreams warrants a neurology-led pathway — not respiratory sleep medicine alone.
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A single normal study is not full clear
Sleep architecture varies night to night — occasional repeat or extended studies are needed.
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MSLT is the next day
If narcolepsy is suspected, plan for a second day in the lab for the MSLT.
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Bring prior sleep diaries and imaging
Actigraphy, sleep diaries, prior EEGs or MRI meaningfully sharpen the report.
Reading your report
A PSG report can look intimidating. It isn’t.
Whatever the finding, the report keeps to the same four parts.
A quiet reminder
The report is written for your doctor, not for you — and that’s normal.
If you would like us to talk you through it before your follow-up, just ask.
- 01 Header
Indication and neurological context
Your presentation, suspected diagnosis, medication and neurological or psychiatric history that shape interpretation.
- 02 Technique
Montage, sensors and scoring rules
EEG channels, EOG, chin and limb EMG, ECG, respiratory sensors, video — with AASM scoring rules.
- 03 Findings
Architecture, respiratory and neurological events
Sleep architecture, AHI, PLMS index, REM atonia status, any EEG abnormalities and video correlation.
- 04 Impression
The conclusion: read this first
The unified sleep-physician and neurologist impression, with the concrete next step — read this first.
Treatment options
What follows the diagnosis.
Every PSG report ends with a structured plan — here are the interventions the multi-disciplinary team draws on.
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CPAP for OSA
First-line for moderate-to-severe obstructive sleep apnoea, titrated in-lab or auto-titrating at home.
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Adaptive servo-ventilation for CSA
ASV for complex or treatment-emergent central sleep apnoea, with cardiology co-review.
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Melatonin / clonazepam for RBD
Melatonin first-line; low-dose clonazepam as second-line, with neurology follow-up for prodromal alpha-synucleinopathy.
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Anti-seizure medication
For confirmed nocturnal seizures, guided by video-EEG features and neurology.
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Sodium oxybate / stimulants
For narcolepsy with cataplexy — under specialist neurology supervision.
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Iron replacement for PLMS
Ferritin-guided iron replacement where periodic limb movements are clinically significant.
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Sleep hygiene and CBT-I
Structured behavioural therapy for insomnia, delivered by sleep-trained psychology.
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Structured sleep-medicine follow-up
Serial reviews with the multi-disciplinary team — adherence, symptoms, repeat PSG where indicated.
Recognised by major UK insurers
Cover depends on your policy and clinic; we confirm with your insurer before booking.
Frequently asked
Everything we get asked about neurological PSG.
Quick answers on what the study captures, how it differs from home testing, MSLT, RBD and how quickly you get results.
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What is a neurological polysomnography?
An in-lab overnight sleep study with a full neurological montage — EEG, EOG, EMG, ECG, respiration and video — co-reported by a sleep physician and neurologist. It answers questions a home sleep apnoea test cannot.
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How is it different from a home sleep study?
A home sleep study measures breathing, oxygen and heart rate. A neurological PSG adds EEG, eye movements, chin and limb EMG and synchronised video — the data you need for parasomnias, RBD, seizures and narcolepsy.
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What is an MSLT and when is it done?
The Multiple Sleep Latency Test runs the day after PSG. You take four or five short naps at fixed intervals; the mean sleep latency and any sleep-onset REM periods (SOREMPs) confirm or exclude narcolepsy.
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What is REM sleep behaviour disorder?
RBD is the loss of the normal muscle paralysis during REM sleep, so people physically act out their dreams — shouting, kicking, punching. It is a strong prodrome of Parkinson’s disease and dementia with Lewy bodies, so a neurology pathway is essential.
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Do I need a referral?
Most clinics accept self-referral for a sleep consultation, and PSG follows from that consultation. We can arrange a fast-track private neurologist if a formal referral is required.
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How quickly will I get results?
Formal reports are typically issued within 5–10 working days, given the manual scoring involved. Urgent verbal summaries can often be given sooner.
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Is a PSG safe in pregnancy?
Yes — PSG uses only surface electrodes and belts, with no radiation, dye or medication. It is safe at any stage of pregnancy.
Sources
- American Academy of Sleep Medicine (AASM). Scoring manual and clinical practice guidelines.
- British Sleep Society. Standards for adult sleep services.
- European Sleep Research Society. Guidelines and position papers.
- NICE. Sleep disorders — clinical knowledge summaries and guidance.
Reviewed by Pulse Atlas Editorial Board (). Published 2026-07-30. Next review 2027-07-30.
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In practice, in London
What neurological sleep study polysomnography looks like on the ground in London
With neurological sleep study polysomnography, the London question is usually about report turnaround and the radiologist reading it — not whether the scan is available. Public provision for neurological sleep study polysomnography is competent but constrained by capacity. Private London clinics tend to have shorter diaries and longer appointment slots, so you get the same specialists with more time. For people who’ve been going round in circles with primary care, that first proper conversation is often what shifts things.
A typical private booking for neurological sleep study polysomnography in London starts with a consultant conversation — sometimes in person on Harley Street or Marylebone, sometimes on video if that suits better. Any imaging or diagnostics happen at a nearby CQC-registered facility, and reports usually land within 24 to 72 hours. The whole loop, from first call to written report, is often done inside a fortnight. For neurological sleep study polysomnography specifically, the difference between a routine report and a sub-speciality read is where private care earns its keep.
Fit matters more than people expect. For neurological sleep study polysomnography, the right consultant depends on what you actually need — a second opinion, a definitive diagnosis, a bridge into treatment, or reassurance that nothing’s being missed. We match on that, not on who has the biggest brochure. If a test isn’t the right next step, we’ll say so before you book anything.