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Sleep, Sleep Disorders, and Mild Traumatic Brain Injury. What We Know and What We Need to Know: Findings from a National Working Group
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  • 作者:Emerson M. Wickwire ; Scott G. Williams ; Thomas Roth…
  • 关键词:Sleep ; Sleep disorders ; Traumatic brain injury ; Concussion ; Insomnia ; Sleep apnea
  • 刊名:Neurotherapeutics
  • 出版年:2016
  • 出版时间:April 2016
  • 年:2016
  • 卷:13
  • 期:2
  • 页码:403-417
  • 全文大小:431 KB
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  • 作者单位:Emerson M. Wickwire (1) (2)
    Scott G. Williams (3) (4)
    Thomas Roth (5)
    Vincent F. Capaldi (6)
    Michael Jaffe (7) (8) (9)
    Margaret Moline (10)
    Gholam K. Motamedi (11)
    Gregory W. Morgan (12)
    Vincent Mysliwiec (13) (4)
    Anne Germain (14)
    Renee M. Pazdan (15)
    Reuven Ferziger (16)
    Thomas J. Balkin (6)
    Margaret E. MacDonald (17)
    Thomas A. Macek (18)
    Michael R. Yochelson (19) (20)
    Steven M. Scharf (2)
    Christopher J. Lettieri (4)

    1. Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA
    2. Sleep Disorders Center, Division of Pulmonary and Critical Care, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA
    3. Department of Medicine, Walter Reed National Military Medical Center, Bethesda, MD, USA
    4. Department of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA
    5. Sleep Disorders and Research Center, Henry Ford Hospital, Detroit, MI, USA
    6. Department of Behavioral Biology, Walter Reed Army Institute of Research, Center for Military Psychiatry and Neuroscience Research, Silver Spring, MD, USA
    7. Department of Neurology, University of Florida, Gainesville, FL, USA
    8. Concussion and Sports Program, University of Florida Trauma, Gainesville, FL, USA
    9. UF Health Sleep Disorders Center, Gainesville, FL, USA
    10. Eisai, Inc., Woodcliff Lake, NJ, USA
    11. Department of Neurology, Georgetown University Hospital, Washington, DC, USA
    12. Sleep Disorders Center, National Intrepid Center of Excellence, Bethesda, MD, USA
    13. Department of Sleep Medicine, San Antonio Military Medical Center, San Antonio, TX, USA
    14. Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
    15. U.S. Public Health Service, Fort Carson, CO, USA
    16. Merck and Co, Kenilworth, NJ, USA
    17. Defense and Veterans Brain Injury Center, (Contractor, General Dynamics Health Solutions), Evans Army Community Hospital, Fort Carson, CO, USA
    18. Department of Clinical Science, CNS, Takeda Development Center – Americas, Deerfield, IL, USA
    19. Medstar National Rehabilitation Network, Washington, DC, USA
    20. Departments of Neurology and Rehabilitation Medicine, Georgetown University School of Medicine, Washington, DC, USA
  • 刊物主题:Neurosciences; Neurology; Neurosurgery; Neurobiology;
  • 出版者:Springer US
  • ISSN:1878-7479
文摘
Disturbed sleep is one of the most common complaints following traumatic brain injury (TBI) and worsens morbidity and long-term sequelae. Further, sleep and TBI share neurophysiologic underpinnings with direct relevance to recovery from TBI. As such, disturbed sleep and clinical sleep disorders represent modifiable treatment targets to improve outcomes in TBI. This paper presents key findings from a national working group on sleep and TBI, with a specific focus on the testing and development of sleep-related therapeutic interventions for mild TBI (mTBI). First, mTBI and sleep physiology are briefly reviewed. Next, essential empirical and clinical questions and knowledge gaps are addressed. Finally, actionable recommendations are offered to guide active and efficient collaboration between academic, industry, and governmental stakeholders.

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