Zhou Yi, Greenwald Brian D
Rutgers Robert Wood Johnson Medical School, Piscataway, NJ 08854, USA.
JFK Johnson Rehabilitation Institute, Edison, NJ 08820, USA.
Brain Sci. 2018 Dec 13;8(12):223. doi: 10.3390/brainsci8120223.
Sleep disturbance after traumatic brain injury (TBI) has received growing interest in recent years, garnering many publications. Insomnia is highly prevalent within the mild traumatic brain injury (mTBI) population and is a subtle, frequently persistent complaint that often goes undiagnosed. For individuals with mTBI, problems with sleep can compromise the recovery process and impede social reintegration. This article updates the evidence on etiology, epidemiology, prognosis, consequences, differential diagnosis, and treatment of insomnia in the context of mild TBI. This article aims to increase awareness about insomnia following mTBI in the hopes that it may improve diagnosis, evaluation, and treatment of sleeping disturbance in this population while revealing areas for future research.
近年来,创伤性脑损伤(TBI)后的睡眠障碍越来越受到关注,相关出版物众多。失眠在轻度创伤性脑损伤(mTBI)人群中非常普遍,是一种细微且常常持续存在的主诉,往往未被诊断出来。对于mTBI患者,睡眠问题会影响恢复过程并阻碍社会重新融入。本文更新了关于轻度TBI背景下失眠的病因、流行病学、预后、后果、鉴别诊断和治疗的证据。本文旨在提高对mTBI后失眠的认识,希望能改善该人群睡眠障碍的诊断、评估和治疗,同时揭示未来研究的方向。