Traumatic brain injury and sleep in military and veteran populations: A literature review

被引:0
|
作者
Landvater, Jeremy [1 ]
Kim, Sharon [1 ]
Caswell, Keenan [1 ]
Kwon, Caroline [1 ]
Odafe, Emamoke [1 ]
Roe, Grace [1 ]
Tripathi, Ananya [1 ]
Vukovics, Christian [1 ]
Wang, Jonathan [1 ]
Ryan, Keith [1 ]
Cocozza, Victoria [2 ]
Brock, Matthew [2 ]
Tchopev, Zahari [2 ]
Tonkin, Brionn [3 ,4 ]
Capaldi, Vincent [1 ]
Collen, Jacob [1 ]
Creamer, Jennifer [5 ]
Irfan, Muna [3 ,4 ]
Wickwire, Emerson M. [6 ]
Williams, Scott [1 ,7 ]
Werner Jr, J. Kent [1 ,5 ]
机构
[1] Uniformed Serv Univ Hlth Sci, Bethesda, MD 20814 USA
[2] Wilford Hall Ambulatory Surg Ctr, San Antonio, TX USA
[3] Univ Minnesota, Minneapolis, MN USA
[4] Minneapolis Vet Adm Med Ctr, Minneapolis, MN USA
[5] Walter Reed Natl Mil Med Ctr, Bethesda, MD 20814 USA
[6] Univ Maryland, Sch Med, Dept Med, Baltimore, MD USA
[7] Def Hlth Headquarters, Falls Church, VA USA
关键词
Traumatic brain injury; sleep; military; veteran; post traumatic stress disorder; sleep wake disorder; neuroinflam mation; POSTTRAUMATIC-STRESS-DISORDER; HEART-RATE-VARIABILITY; EXCESSIVE DAYTIME SLEEPINESS; CLINICAL-PRACTICE GUIDELINE; RETURNING COMBAT VETERANS; POSITIVE AIRWAY PRESSURE; SLOW-WAVE SLEEP; REM-SLEEP; LOCUS-COERULEUS; COGNITIVE OUTCOMES;
D O I
10.3233/NRE-230380
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
BACKGROUND: Traumatic brain injury (TBI) is a hallmark of wartime injury and is related to numerous sleep wake disorders (SWD), which persist long term in veterans. Current knowledge gaps in pathophysiology have hindered advances in diagnosis and treatment. OBJECTIVE: We reviewed TBI SWD pathophysiology, comorbidities, diagnosis and treatment that have emerged over the past two decades. METHODS: We conducted a literature review of English language publications evaluating sleep disorders (obstructive sleep apnea, insomnia, hypersomnia, parasomnias, restless legs syndrome and periodic limb movement disorder) and TBI published since 2000. We excluded studies that were not specifically evaluating TBI populations. RESULTS: Highlighted areas of interest and knowledge gaps were identified in TBI pathophysiology and mechanisms of sleep disruption, a comparison of TBI SWD and post-traumatic stress disorder SWD. The role of TBI and glymphatic biomarkers and management strategies for TBI SWD will also be discussed. CONCLUSION: Our understanding of the pathophysiologic underpinnings of TBI and sleep health, particularly at the basic science level, is limited. Developing an understanding of biomarkers, neuroimaging, and mixed-methods research in comorbid TBI SWD holds the greatest promise to advance our ability to diagnose and monitor response to therapy in this vulnerable population.
引用
收藏
页码:245 / 270
页数:26
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