Colin Snow
Sleep is critical for people with a traumatic brain injury (TBI). According to the Model Systems Knowledge Translation Center (MSKTC), nearly 60% of people with a TBI will experience long-term sleep difficulties, and sleeping disorders are three times more common in TBI patients than in the general population. Research has also shown that the location of the lesion is more important than the severity of the TBI in predicting sleep outcomes, with damage to the arousal/sleep regulation centres causing the most sleep disturbances.
| Characteristics | Values |
|---|---|
| Percentage of people with TBI who experience long-term sleep difficulties | 60% |
| How much more common are sleeping disorders in people with TBI compared to the general population | 3 times more common |
| Percentage of people with TBI who have insomnia | 29% |
| Percentage of people with TBI who have sleep apnea | 25% |
| Percentage of people with TBI who have hypersomnia | 28% |
| Percentage of people with TBI who have narcolepsy | 4% |
| How does injury severity affect sleepiness endorsement | More severely injured TBI patients endorse greater sleepiness |
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What You'll Learn
Sleep disturbances are more common in mild TBI than moderate to severe TBI
According to the Model Systems Knowledge Translation Center (MSKTC), nearly 60% of people with TBI will experience long-term sleep difficulties, and sleeping disorders are three times more common in TBI patients than in the general population. TBI can cause many brain changes, and symptoms vary from person to person. Trouble sleeping is a common symptom of TBI, affecting about 6 in 10 people with the condition. Sleep is critical for the brain's functioning and recovery, and not getting enough sleep can worsen other TBI symptoms.
A meta-analysis reported that after a TBI, 29% of patients have insomnia, 25% have sleep apnea, 28% have hypersomnia, and 4% have narcolepsy. The severity of the injury also affects sleepiness, with more severely injured TBI patients reporting greater sleepiness than trauma controls.
Physicians have suggested that increased sleep need in post-TBI patients may respond well to medications that enhance histamine signalling, such as pitolisant, which is being used with some success in patients with narcolepsy.
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Sleep is critical for TBI patients
The location of the lesion is more important than the severity of the TBI in predicting sleep outcomes, where damage to the arousal/sleep regulation centres causes the most sleep disturbances. Studies have shown that mild TBI is more strongly associated with sleep disturbances than moderate to severe TBI. This may be because individuals with mild TBI are more likely to report sleep disturbances than people with severe TBI, who perceive sleep disturbances as minor compared to other cognitive sequelae. However, more severely injured TBI patients endorse greater sleepiness than trauma controls.
The brain needs sleep to heal from a TBI, and not getting enough sleep can make other TBI symptoms worse. This has led to suggestions that post-TBI patients who experience the need for extra sleep could be treated with medications that enhance histamine signalling, such as pitolisant.
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TBI patients are three times more likely to have a sleeping disorder
Traumatic brain injury (TBI) patients are three times more likely to have a sleeping disorder than the general population. According to the Model Systems Knowledge Translation Center (MSKTC), nearly 60% of people suffering from a TBI will experience long-term difficulties with sleep. TBI can cause many brain changes, and trouble sleeping is a symptom that affects many people with TBI. About 6 in 10 people with TBI have this problem.
There are many reasons why TBI may cause sleep problems. Firstly, the brain needs sleep to heal from a TBI, and not getting enough sleep can make other TBI symptoms worse. Secondly, the location of the lesion is more important than the severity of TBI in predicting sleep outcomes, where damage to the arousal/sleep regulation centres causes the most sleep disturbances. Research has shown that nearly 50% of patients report sleep disturbances after a TBI, with 29% having insomnia, 25% having sleep apnea, 28% having hypersomnia, and 4% having narcolepsy.
TBI patients may experience the need for extra sleep, and medications that enhance histamine signalling, such as pitolisant, are being tried with some success in patients with narcolepsy.
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TBI patients may need medication to enhance sleep
Sleep is critical for traumatic brain injury (TBI) patients. According to the Model Systems Knowledge Translation Center (MSKTC), nearly 60% of people with a TBI will experience long-term sleep difficulties, and sleeping disorders are three times more common in TBI patients than in the general population.
TBI can cause many brain changes, and symptoms vary from person to person. Trouble sleeping is a common symptom, with about 6 in 10 people with TBI experiencing sleep problems. These sleep disturbances may be caused by changes in the arousal/sleep regulation centres of the brain. Research has shown that the location of the lesion is more important than the severity of the TBI in predicting sleep outcomes.
It is important to note that not getting enough sleep can worsen other TBI symptoms. Therefore, addressing sleep issues is crucial for TBI patients to support their overall recovery and well-being.
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TBI patients are more likely to experience long-term sleep difficulties
Traumatic brain injury (TBI) patients are more likely to experience long-term sleep difficulties than the general population. According to the Model Systems Knowledge Translation Center (MSKTC), nearly 60% of people suffering from a TBI will experience long-term sleep difficulties, and sleeping disorders are three times more common in TBI patients than in the general population.
TBI can cause many brain changes, and symptoms can include changes in the way you feel, act, think, and move. Trouble sleeping is a symptom that affects many people with TBI. About 6 in 10 people with TBI have this problem.
Research has shown that mild TBI is more strongly associated with sleep disturbances than moderate to severe TBI. This may be because individuals with mild TBI are more likely to report sleep disturbances than people with severe TBI, who perceive sleep disturbances as minor compared to other cognitive sequelae. However, other research has proposed that the location of the lesion is more important than the severity of TBI in predicting sleep outcomes, with damage to the arousal/sleep regulation centres causing the most sleep disturbances.
Injury severity also affects sleepiness, with more severely injured TBI patients reporting greater sleepiness than trauma controls and the ≤ 24-hour TFC group at 1 month and at 1 year.
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Frequently asked questions
Yes, people with TBI often experience long-term sleep difficulties, with nearly 60% of people with TBI experiencing sleep problems.
Sleep is critical for the brain to recover from a TBI. Not getting enough sleep can make other TBI symptoms worse.
Sleep disturbances are three times more common in people with TBI than in the general population. About 6 in 10 people with TBI experience sleep problems.
Sleep disturbances can include insomnia, sleep apnea, hypersomnia and narcolepsy.
There are a few ways people with TBI can improve their sleep, including medications that enhance histamine signalling, such as pitolisant.
