NIGHT SLEEP IN REMOTE PERIOD OF EXPLOSIVE, CLOSED TRAUMATIC BRAIN INJURY
DOI:
https://doi.org/10.11603/2415-8798.2019.1.9957Keywords:
closed traumatic brain injury, blast wave, night sleep disorder, polysomnography, consequences, sleep, research, sleep stagesAbstract
The removed period of mild fighting closed craniocerebral injury is syndromologically manifested by cephalic, vertiginous, asthenoneurotic syndromes, autonomic disorders, as well as disorders of the sleep-wake cycle. 80–90 % of military personnel receive damage to the central nervous system of varying severity from explosive devices.
The aim of the study – to investigate the possibility of night sleep in patients with long–term effects of explosive disease, which leads to a reduction in the risk of disability and an improvement in the quality of life.
Materials and Methods. A subjective and objective assessment of night sleep was carried out in 28 men with long-term effects of closed traumatic brain injury, whose average age was 37 years.
Results and Discussion. In the subjective assessment of sleep, patients noted pronounced pre-intra- and postsomnic disorders, the presence in 50 % of cases of episodes of complete absence of night sleep. Dissociation between the subjective and objective assessment of night sleep is noted. According to polysomnography, it was revealed that sleep disorders had moderate severity and related to significant changes in the organization of slow–wave sleep, characterized by the activation of mechanisms for implementing stage C2 and a decrease in the representation of delta sleep.
Conclusions. It was concluded that polysomnographic studies are needed in this category of patients in order to select adequate therapy and minimize complications in the recovery post-traumatic period.
References
Karpov, S.M., Bakhadova, E.M., Apaguni, A.E., & Kaloyev, A.D. (2014). Otdalennyye posledstviya minno-vzryvnogo raneniya, kak faktor psikhonevrologicheskikh narusheniy [The remote effects of mine-explosive wounds as a factor in neuropsychiatric disorders]. Vestnik novykh meditsinskikh tekhnologiy – Bulletin of new medical technologies, 21, 3, 100-103 [in Russian].
Bakhadova, E.M., Karpov, S.M., Apaguni, A.E., Karpova, Ye.N., Apaguni, V.V., & Kaloyev, A.D. (2014). Otdalonnyye posledstviya minno-vzryvnoy travmy na neyrofiziologicheskoye sostoyaniye golovnogo mozga [Remote effects of mine blast injury on the neurophysiological state of the brain]. Fundamentalnyye issledovaniya – Basic Research, 2, 28-33 [in Russian].
McAllister, T.W., & Arciniegas, D. (2002). Evaluation and treatment of postconcussive symptoms. Neurorehabilitaition, 17, 265-283.
Wickwire, E.M., Williams, S.G., Roth, T., Capaldi, V.F., Jaffe, M., Moline, M., … & Lettieri, C.J. (2016). Sleep, sleep disorders, and mild traumatic brain injury. What we know and what we need to know: findings from a National Working Group. Neurotherapeutics, 13 (2), 403-417.
Viola-Saltzman, M., & Musleh, C. (2016). Traumatic brain injury-induced sleep disorders. Neuropsychiatr Dis Treat, 12, 339-348.
Rao, V., Koliatsos, V., Ahmed, F., Lyketsos, C., & Kortte, K. (2015). Neuropsychiatric disturbances associated with traumatic brain injury: a practical approach to evaluation and management. Semin Neurol, 35 (1), 64–82.
Shekleton, J.A., Parcell, D.L., Redman, J.R., Phipps-Nelson, J., Ponsford, J.L., & Rajaratnam, S.M. (2010). Sleep disturbance and melatonin levels following traumatic brain injury. Neurology, 74 (21), 1732-1738.
Baumann, C.R., Werth, E., Stocker, R., Ludwig, S., & Bassetti, C.L. (2007). Sleep-wake disturbances 6 months after traumatic brain injury: a prospective study. Brain, 130, 1873-1883.
Mollayeva, T., Mollayeva, S., & Colantonio, A. (2016). The risk of sleep disorder among persons with mild traumatic brain injury. Curr Neurol Neurosci Rep, 16 (6), 55.
Parcell, D.L., Ponsford, J.L., Redman, J.R., & Rajaratnam, S.M. (2008). Poor sleep quality and changes in objectively recorded sleep after traumatic brain injury: a preliminary study. Arch. Phys. Med. Rehabil, 89 (5), 843-850.
Lavigne, G., Khoury, S., Chauny, J.M., & Desautels, A. (2015). Pain and sleep in post-concussion/mild traumatic brain injury. Pain, 156 (Suppl 1), 75-85.
Chaput, G., Giguère, J.F., Chauny, J.M., Denis, R., & Lavigne, G. (2009). Relationship among subjective sleep complaints, headaches, and mood alterations following a mild traumatic brain injury. Sleep Med, 10 (7), 713-716.
Minen, M.T., Boubour, A., Walia, H., & Barr, W. (2016). Post-concussive syndrome: a focus on post-traumatic headache and related cognitive, psychiatric, and sleep issues. Curr Neurol Neurosci Rep, 16 (11), 100.
Hou, L., Han, X., Sheng, P., Tong, W., Li, Z., & Xu, D. (2013). Risk factors associated with sleep disturbance following traumatic brain injury: clinical findings and questionnaire based study. PLoS One, 8 (10), Е76087.
Jaramillo, C.A., Eapen, B.C., McGeary, C.A., McGeary, D.D., Robinson, J., Amuan, M, & Pugh, M.J. (2016). A cohort study examining headaches among veterans of Iraq and Afghanistan wars: associations with traumatic brain injury, PTSD, and depression. Headache, 56 (3), 528-539.
Farrell-Carnahan, L., Barnett, S., Lamberty, G., Hammond, F.M., Kretzmer, T.S., Franke, L.M., … & Nakase-Richardson, R. (2015). Insomnia symptoms and behavioural health symptoms in veterans 1 year after traumatic brain injury. Brain Inj, 29 (12), 1400-1408.
Bryan, C.J. (2013). Repetitive traumatic brain injury (or concussion) increases severity of sleep disturbance among deployed military personnel. Sleep, 36 (6), 941-946.
Holster, J.L., Bryan, C.J., Heron, E.A., & Seegmiller, R.A. (2017). Traumatic brain injury, sleep, and mental health: a longitudinal study of air force personnel pre- and post-deployment to Iraq. J Head Trauma Rehabil, 32 (1), 25-33.
Mathias, J.L., & Alvaro, P.K. (2012). Prevalence of sleep disturbances, disorders, and problems following traumatic brain injury: a meta-analysis. Sleep Med, 13 (7), 898-905.
Nakase-Richardson, R., Sherer, M., Barnett, S.D., Yablon, S.A., Evans, C.C., Kretzmer, T., ... & Modarres, M. (2013). Prospective evaluation of the nature, course, and impact of acute sleep abnormality after traumatic brain injury. Arch Phys Med Rehabil., 94 (5), 875-882.
Chan, L.G., & Feinstein, A. (2015). Persistent sleep disturbances independently predict poorer functional and social outcomes 1 year after mild traumatic brain injury. Head Trauma Rehabil, 30 (6), 67-75.
Ouellet, M.C., Beaulieu-Bonneau, S., & Morin, C.M. (2006). Insomnia in patients with traumatic brain injury: frequency, characteristics, and risk factors. J Head Trauma Rehabil, 21 (3), 199-212.
Zeitzer, J.M., Friedman, L., & O'Hara, R. (2009). Insomnia in the context of traumatic brain injury. J Rehabil Res Dev, 46 (6), 827-836.
Kempf, J., Werth, E., Kaiser, P.R., Bassetti, C.L., & Baumann, C.R. (2010). Sleep-wake disturbances 3 years after traumatic brain injury. J Neurol Neurosurg Psychiatry, 81 (12), 14021405.
Albrecht, M.A., Masters, C.L., Ames, D., & Foster, J.K. (2016). AIBL Research Group. Impact of mild head injury on neuropsychological performance in healthy older adults: longitudinal assessment in the AIBL cohort. Front Aging Neurosci, 8, 105.
Gaudet, C.E., & Weyandt, L.L. (2017). Immediate post-concussion and cognitive testing (ImPACT): a systematic review of the prevalence and assessment of invalid performance. Clin Neuropsychol, 31 (1), 43-58.
Martindale, S.L., Morissette, S.B., Rowland, J.A., & Dolan, S.L. (2017). Sleep quality affects cognitive functioning in returning combat veterans beyond combat exposure, PTSD, and mild TBI history. Neuropsychology, 31 (1), 93-104.
Lau, B.C., Collins, M.W., & Lovell, M.R. (2011). Sensitivity and specificity of subacute computerized neurocognitive testing and symptom evaluation in predicting outcomes after sports-related concussion. Am J Sports Med., 39 (6), 1209-1216.
Sufrinko, A., Pearce, K., Elbin, R.J., Covassin, T., Johnson, E., Collins, M., & Kontos, A.P. (2015). The effect of preinjury sleep difficulties on neurocognitive impairment and symptoms after sport-related concussion. Am J Sports Med., 43 (4), 830-838.
Singh, K., Morse, A.M., Tkachenko, N., & Kothare, S.V. (2016). Sleep disorders associated with traumatic brain injury-a review. Pediatr Neurol, 60, 30-36.
Downloads
Published
How to Cite
Issue
Section
License
Authors who sent their manuscript to "Вісник наукових досліджень. Bulletin of Scientific Research" Surgery agree to the following terms:
a. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal. 
b. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
c. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)
