Impact of traumatic brain injury on sleep: an overview

Raissa Aoun,1 Himanshu Rawal,2 Hrayr Attarian,3 Ashima Sahni41Department of Neurology, Lebanese American University Medical Center – Rizk Hospital, Beirut, Lebanon; 2Department of Medicine, Medstar Union Memorial Hospital, Baltimore, MD, USA; 3Department of Neurology, Northwestern Memorial...

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Autores principales:	Aoun R, Rawal H, Attarian H, Sahni A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	Traumatic brain injury neurobiology sleep disorders TBI sleep Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/4194e6143bcc4160b6618c22f23cdf74
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spelling	oai:doaj.org-article:4194e6143bcc4160b6618c22f23cdf742021-12-02T01:54:27ZImpact of traumatic brain injury on sleep: an overview1179-1608https://doaj.org/article/4194e6143bcc4160b6618c22f23cdf742019-08-01T00:00:00Zhttps://www.dovepress.com/impact-of-traumatic-brain-injury-on-sleep-an-overview-peer-reviewed-article-NSShttps://doaj.org/toc/1179-1608Raissa Aoun,1 Himanshu Rawal,2 Hrayr Attarian,3 Ashima Sahni41Department of Neurology, Lebanese American University Medical Center – Rizk Hospital, Beirut, Lebanon; 2Department of Medicine, Medstar Union Memorial Hospital, Baltimore, MD, USA; 3Department of Neurology, Northwestern Memorial Hospital, Chicago, IL, USA; 4Division of Pulmonary, Critical Care, Sleep and Allergy, Department of Medicine, University of Illinois at Chicago, IL, Chicago, USACorrespondence: Ashima SahniDivision of Pulmonary, Critical Care, Sleep and Allergy, Department of Medicine, University of Illinois at Chicago (MC 719), Chicago, IL 60612, USATel +312 355 4806Email asahni@uic.eduAbstract: 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.Keywords: traumatic brain injury, neurobiology, sleep disorders, TBI, sleepAoun RRawal HAttarian HSahni ADove Medical PressarticleTraumatic brain injuryneurobiologysleep disordersTBIsleepPsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 11, Pp 131-140 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Traumatic brain injury neurobiology sleep disorders TBI sleep Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	Traumatic brain injury neurobiology sleep disorders TBI sleep Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Aoun R Rawal H Attarian H Sahni A Impact of traumatic brain injury on sleep: an overview
description	Raissa Aoun,1 Himanshu Rawal,2 Hrayr Attarian,3 Ashima Sahni41Department of Neurology, Lebanese American University Medical Center – Rizk Hospital, Beirut, Lebanon; 2Department of Medicine, Medstar Union Memorial Hospital, Baltimore, MD, USA; 3Department of Neurology, Northwestern Memorial Hospital, Chicago, IL, USA; 4Division of Pulmonary, Critical Care, Sleep and Allergy, Department of Medicine, University of Illinois at Chicago, IL, Chicago, USACorrespondence: Ashima SahniDivision of Pulmonary, Critical Care, Sleep and Allergy, Department of Medicine, University of Illinois at Chicago (MC 719), Chicago, IL 60612, USATel +312 355 4806Email asahni@uic.eduAbstract: 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.Keywords: traumatic brain injury, neurobiology, sleep disorders, TBI, sleep
format	article
author	Aoun R Rawal H Attarian H Sahni A
author_facet	Aoun R Rawal H Attarian H Sahni A
author_sort	Aoun R
title	Impact of traumatic brain injury on sleep: an overview
title_short	Impact of traumatic brain injury on sleep: an overview
title_full	Impact of traumatic brain injury on sleep: an overview
title_fullStr	Impact of traumatic brain injury on sleep: an overview
title_full_unstemmed	Impact of traumatic brain injury on sleep: an overview
title_sort	impact of traumatic brain injury on sleep: an overview
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/4194e6143bcc4160b6618c22f23cdf74
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Impact of traumatic brain injury on sleep: an overview

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