Internal Med Medical News about sleep disturbance;traumatic brain injury

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Traumatic brain injury and sleep disturbance: A review of current research
Journal of Head Trauma Rehabilitation, 05/27/09

Orff HJ et al. – Sleep disturbance is a common consequence of traumatic brain injury (TBI), but more research must elucidate this relationship. Future study in this population must focus on: 1) specific TBI types, causes, and severity most often leading to sleep problems; (2) specific consequences of sleep disturbance; and 3) most effective strategies for treatment of sleep-wake abnormalities.

Methods

Review of current literature on significant prevalence and potential consequences of sleep disturbance following TBI, particularly mild TBI
Search of PubMed and Ovid/MEDLINE databases by key words sleep disturbance, insomnia, TBI, brain injury, and circadian rhythms
Review of additional sources: abstracts from annual Associated Professional Sleep Societies meeting

Results

Sequelae of TBI: both medical and psychiatric symptoms and frequent complaints of sleep disturbance
Sleep disturbances likely result from and contribute to multiple factors associated with TBI, all of which complicate recovery and symptom resolution
Mild TBI may be more correlated with increased likelihood of sleep disturbance than severe forms of TBI

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