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Current Treatment Options in Neurology

, Volume 4, Issue 1, pp 77–87 | Cite as

Sleep disturbances following traumatic brain injury

  • Vani Rao
  • Pamela Rollings
Article

Opinion statement

  • Sleep disorders commonly complicate the course following traumatic brain injury (TBI).

  • Insomnia, excessive daytime somnolence and alteration of the sleep-wake schedule are common disturbances that affect the course of recovery and prognosis in TBI survivors.

  • Few studies, however, have looked at the diagnosis and management of these disturbances in TBI. Early treatment of sleep disorders must be considered an integral part of the rehabilitation process. Recognition and management of comorbid medical or surgical diseases, assessment and treatment of associated psychiatric disorders, and awareness of other psychosocial stressors are mandatory steps in the management of sleep disturbances following TBI. In addition to pharmacologic therapy, nonpharmacologic approaches such as diet, environmental modification, and behavioral interventions are essential components in the management of sleep disturbances in TBI.

  • Based on the evidence that sleep disturbances impact rehabilitation in TBI patients we support the need for ongoing studies in this area.

Keywords

Traumatic Brain Injury Melatonin Sleep Disturbance Gabapentin Sleep Disorder 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Current Science Inc 2002

Authors and Affiliations

  • Vani Rao
    • 1
  • Pamela Rollings
  1. 1.Department of Psychiatry and Behavioral SciencesThe Neuropsychiatry and Memory Group Service of Johns Hopkins HospitalBaltimoreUSA

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