R J Castriotta1, J M Lai. 1. Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, University of Texas-Houston Medical School, 77030, USA. Richard.J.Castriotta@uth.tmc.edu
Abstract
OBJECTIVES: To investigate the frequency of sleep disorders in traumatic brain injury (TBI) patients with hypersomnia and to discern the relationship between posttraumatic sleep disorders and pretraumatic sleep symptoms. DESIGN: Prospective cohort study using the criterion standard to diagnose sleep disorders in a consecutive sample of TBI patients. SETTING: Academic medical center with level I trauma center, rehabilitative medicine services, and accredited sleep disorders center. PATIENTS: Ten TBI patients with subjective excessive sleepiness. INTERVENTION: Nocturnal polysomnography followed by Multiple Sleep Latency Test. Subjects who had overt sleep apnea on the first nocturnal polysomnography had a second nocturnal polysomnography with titration of nasal continuous positive airway pressure. MAIN OUTCOME MEASURES: Diagnosis of sleep-disordered breathing, narcolepsy, and posttraumatic hypersomnia. RESULTS: A diagnosis of treatable sleep disorder was made in all 10 subjects. Sleep-disordered breathing was found in 7 subjects: overt obstructive sleep apnea (OSA) was diagnosed in 5 subjects, rapid eye movement-related OSA in 1, and upper airway resistance syndrome (UARS) in 1. Narcolepsy was diagnosed in 2 subjects, and the diagnosis of posttraumatic hypersomnia was made in 1 subject. Three subjects had symptoms of hypersomnia before their injury (1 each with narcolepsy, OSA, UARS), and 2 of these were driving a car at the time of injury. CONCLUSION: Treatable sleep disorders appear to be common in the sleepy TBI population, but may be largely undiagnosed and untreated. Copyright 2001 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation
OBJECTIVES: To investigate the frequency of sleep disorders in traumatic brain injury (TBI) patients with hypersomnia and to discern the relationship between posttraumatic sleep disorders and pretraumatic sleep symptoms. DESIGN: Prospective cohort study using the criterion standard to diagnose sleep disorders in a consecutive sample of TBIpatients. SETTING: Academic medical center with level I trauma center, rehabilitative medicine services, and accredited sleep disorders center. PATIENTS: Ten TBIpatients with subjective excessive sleepiness. INTERVENTION: Nocturnal polysomnography followed by Multiple Sleep Latency Test. Subjects who had overt sleep apnea on the first nocturnal polysomnography had a second nocturnal polysomnography with titration of nasal continuous positive airway pressure. MAIN OUTCOME MEASURES: Diagnosis of sleep-disordered breathing, narcolepsy, and posttraumatic hypersomnia. RESULTS: A diagnosis of treatable sleep disorder was made in all 10 subjects. Sleep-disordered breathing was found in 7 subjects: overt obstructive sleep apnea (OSA) was diagnosed in 5 subjects, rapid eye movement-related OSA in 1, and upper airway resistance syndrome (UARS) in 1. Narcolepsy was diagnosed in 2 subjects, and the diagnosis of posttraumatic hypersomnia was made in 1 subject. Three subjects had symptoms of hypersomnia before their injury (1 each with narcolepsy, OSA, UARS), and 2 of these were driving a car at the time of injury. CONCLUSION: Treatable sleep disorders appear to be common in the sleepy TBI population, but may be largely undiagnosed and untreated. Copyright 2001 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation
Authors: Jon T Willie; Miranda M Lim; Rachel E Bennett; Allan A Azarion; Katherine E Schwetye; David L Brody Journal: J Neurotrauma Date: 2012-07-01 Impact factor: 5.269
Authors: Richard J Castriotta; Strahil Atanasov; Mark C Wilde; Brent E Masel; Jenny M Lai; Samuel T Kuna Journal: J Clin Sleep Med Date: 2009-04-15 Impact factor: 4.062
Authors: Harrison G Bloom; Imran Ahmed; Cathy A Alessi; Sonia Ancoli-Israel; Daniel J Buysse; Meir H Kryger; Barbara A Phillips; Michael J Thorpy; Michael V Vitiello; Phyllis C Zee Journal: J Am Geriatr Soc Date: 2009-05 Impact factor: 5.562
Authors: Natalie Grima; Jennie Ponsford; Shantha M Rajaratnam; Darren Mansfield; Matthew P Pase Journal: J Clin Sleep Med Date: 2016-03 Impact factor: 4.062
Authors: Richard J Castriotta; Mark C Wilde; Jenny M Lai; Strahil Atanasov; Brent E Masel; Samuel T Kuna Journal: J Clin Sleep Med Date: 2007-06-15 Impact factor: 4.062