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Related Experiment Video

Updated: Apr 8, 2026

Assessing Changes in Synaptic Plasticity Using an Awake Closed-Head Injury Model of Mild Traumatic Brain Injury
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Assessing Changes in Synaptic Plasticity Using an Awake Closed-Head Injury Model of Mild Traumatic Brain Injury

Published on: January 20, 2023

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Sleep in traumatic brain injury.

James Vermaelen1, Patrick Greiffenstein2, Bennett P deBoisblanc1

  • 1Section of Pulmonary & Critical Care Medicine, Louisiana State University Health Sciences Center, 1901 Perdido Street, Suite 3205, New Orleans, LA 70112, USA.

Critical Care Clinics
|June 30, 2015
PubMed
Summary

Traumatic brain injury (TBI) frequently causes sleep disturbances like insomnia and sleep-disordered breathing. Early diagnosis and ICU environment optimization are key for managing sleep issues and potentially improving outcomes in TBI patients.

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Area of Science:

  • Neurology
  • Sleep Medicine
  • Critical Care Medicine

Background:

  • Traumatic brain injury (TBI) affects over half a million patients annually.
  • Sleep disturbances are highly prevalent post-TBI, including sleep-disordered breathing (25%), insomnia (up to 50%), and hypersomnia (50%).
  • Potential causes include direct brain injury, systemic responses, ICU environment, and medications.

Purpose of the Study:

  • To highlight the significant incidence and potential causes of sleep disturbances following TBI.
  • To emphasize the importance of diagnosing and managing sleep issues in TBI patients.
  • To provide recommendations for optimizing sleep and treatment strategies in the ICU setting.

Main Methods:

  • Review of existing literature on TBI and sleep disturbances.
Keywords:
Critical careDeliriumMelatoninSleep disordersTraumatic brain injury

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  • Clinical observations regarding sleep patterns in hospitalized TBI patients.
  • Analysis of factors contributing to sleep disruption in the ICU.

    • Main Results:

    • Sleep disturbances are common sequelae of TBI, impacting a substantial portion of patients.
    • Multiple factors, including neurobiological, environmental, and pharmacological, contribute to these disturbances.
    • Diagnosis requires vigilance and appropriate sleep studies.

    Conclusions:

    • Sleep disturbances are a critical, often overlooked, aspect of TBI care.
    • Interventions focused on improving the ICU sleep environment are foundational.
    • Targeted treatment of sleep-disordered breathing may offer outcome benefits.
    • Judicious use of sedatives and anxiolytics is recommended.