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Impact of traumatic brain injury on sleep: an overview
- Source :
- Nature and Science of Sleep. 11:131-140
- Publication Year :
- 2019
- Publisher :
- Informa UK Limited, 2019.
-
Abstract
- Traumatic brain injury (TBI) is a global health problem that affects millions of civilians, athletes, and military personnel yearly. Sleeping disorders are one of the underrecognized sequalae even though they affect 46% of individuals with TBI. After a mild TBI, 29% of patients have insomnia, 25% have sleep apnea, 28% have hypersomnia, and 4% have narcolepsy. The type of sleep disturbance may also vary according to the number of TBIs sustained. Diffuse axonal injury within the sleep regulation system, disruption of hormones involved in sleep, and insults to the hypothalamus, brain stem, and reticular activating system are some of the proposed theories for the pathophysiology of sleep disorders after TBI. Genetic and anatomical factors also come to play in the development and severity of these sleeping disorders. Untreated sleep disturbances following TBI can lead to serious consequences with respect to an individual's cognitive functioning. Initial management focuses on conservative measures with progression to more aggressive options if necessary. Future research should attempt to establish the effectiveness of the treatments currently used, as well as identify manageable co-existing factors that could be exacerbating sleep disorders.
- Subjects :
- Sleep disorder
medicine.medical_specialty
Traumatic brain injury
business.industry
Diffuse axonal injury
Sleep apnea
medicine.disease
Sleep in non-human animals
03 medical and health sciences
Behavioral Neuroscience
0302 clinical medicine
Physical medicine and rehabilitation
030228 respiratory system
medicine
Insomnia
medicine.symptom
business
Reticular activating system
030217 neurology & neurosurgery
Applied Psychology
Narcolepsy
Subjects
Details
- ISSN :
- 11791608
- Volume :
- 11
- Database :
- OpenAIRE
- Journal :
- Nature and Science of Sleep
- Accession number :
- edsair.doi...........328391d84d9a0f16d76e23c829c4772f