TY - JOUR PY - 2024// TI - Traumatic brain injury and sleep in military and veteran populations: a literature review JO - NeuroRehabilitation A1 - Landvater, Jeremy A1 - Kim, Sharon A1 - Caswell, Keenan A1 - Kwon, Caroline A1 - Odafe, Emamoke A1 - Roe, Grace A1 - Tripathi, Ananya A1 - Vukovics, Christian A1 - Wang, Johnathan A1 - Ryan, Keith A1 - Cocozza, Victoria A1 - Brock, Matthew A1 - Tchopev, Zahari A1 - Tonkin, Brionn A1 - Capaldi, Vincent A1 - Collen, Jacob A1 - Creamer, Jennifer A1 - Irfan, Muna A1 - Wickwire, Emerson A1 - Williams, Scott A1 - Werner, J. Kent SP - ePub EP - ePub VL - ePub IS - ePub N2 - 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.

Language: en

LA - en SN - 1053-8135 UR - http://dx.doi.org/10.3233/NRE-230380 ID - ref1 ER -