Sleep-wake disturbances after traumatic brain injury.

TitleSleep-wake disturbances after traumatic brain injury.
Publication TypeJournal Article
Year of Publication2015
AuthorsOuellet, M-C, Beaulieu-Bonneau, S, Morin, CM
JournalLancet Neurol
Volume14
Issue7
Pagination746-57
Date Published2015 Jul
ISSN1474-4465
KeywordsBrain Injuries, Cognitive Therapy, Disorders of Excessive Somnolence, Humans, Sleep Initiation and Maintenance Disorders, Sleep Wake Disorders
Abstract

Sleep-wake disturbances are extremely common after a traumatic brain injury (TBI). The most common disturbances are insomnia (difficulties falling or staying asleep), increased sleep need, and excessive daytime sleepiness that can be due to the TBI or other sleep disorders associated with TBI, such as sleep-related breathing disorder or post-traumatic hypersomnia. Sleep-wake disturbances can have a major effect on functional outcomes and on the recovery process after TBI. These negative effects can exacerbate other common sequelae of TBI-such as fatigue, pain, cognitive impairments, and psychological disorders (eg, depression and anxiety). Sleep-wake disturbances associated with TBI warrant treatment. Although evidence specific to patients with TBI is still scarce, cognitive-behavioural therapy and medication could prove helpful to alleviate sleep-wake disturbances in patients with a TBI.

DOI10.1016/S1474-4422(15)00068-X
Alternate JournalLancet Neurol
PubMed ID26067127
Grant List / / Canadian Institutes of Health Research / Canada