Department of Paediatrics, East Sussex Health Care NHS Trust, London, United Kingdom.
Division of Pediatric Neurology, Department of Pediatrics, Cohen Children's Medical Center, New York, New York, U.S.A.; and.
J Clin Neurophysiol. 2022 Jul 1;39(5):356-362. doi: 10.1097/WNP.0000000000000661. Epub 2022 Jan 19.
Sleep disorders are common after traumatic brain injury (TBI). This study will review the spectrum and proposed mechanisms of TBI-associated sleep disorders and discuss the clinical approach to diagnosis and management of them. Disordered and fragmented sleep with insomnia and daytime sleepiness is very common after TBI. Sleep disruption contributes to morbidity and neurocognitive and neurobehavioral deficits and prolongs the recovery phase after injury. Early recognition and correction of these problems may limit the secondary effects of TBI and improve patient outcomes. Evaluating sleep disorders in TBI should be an important component of TBI assessment and management. Finally, newer research techniques for early diagnosis, prognosis, and improved outcomes after TBI will also be addressed.
颅脑损伤(TBI)后常发生睡眠障碍。本研究将综述 TBI 相关睡眠障碍的范围和提出的发病机制,并讨论其诊断和治疗的临床方法。TBI 后常出现睡眠紊乱、失眠和日间嗜睡。睡眠障碍会导致发病率增加,并引起神经认知和神经行为缺陷,延长损伤后的恢复阶段。早期识别和纠正这些问题可能会限制 TBI 的继发性影响,改善患者预后。在 TBI 中评估睡眠障碍应成为 TBI 评估和管理的重要组成部分。最后,还将讨论用于 TBI 后早期诊断、预后和改善结果的新技术。