Sleep disorders play a significant role in the care of those with Traumatic Brain
Injury (TBI).
OBJECTIVE:
To provide a literature review on the interaction of sleep and circadian processes on
those with TBI.
METHODS:
A literature review was conducted on PubMed using the following key words and their
combination: “Sleep Apnea”, “Traumatic Brain Injury”, “Circadian”, “Parasomnia”,
“Insomnia”, “Hypersomnia”, “Narcolepsy”, and “Restless Legs”. We review the spectrum of
traumatic brain injury associated sleep disorders and discuss clinical approaches to
diagnosis and treatment.
RESULTS:
Disordered sleep and wakefulness after TBI is common. Sleep disruption contributes to
morbidity, such as the development of neurocognitive and neurobehavioral deficits, and
prolongs the recovery phase after injury. Early recognition and correction of these
problems may limit the secondary effects of traumatic brain injury and improve neuro
recovery/patient outcomes.
CONCLUSIONS:
A more focused approach to sleep health is appropriate when caring for those with
TBI.
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