Sleep disorders in spinal cord injury

Richard J. Castriotta; Mark C. Wilde; Sandeep Sahay

doi:10.1016/j.jsmc.2012.10.005

Sleep disorders in spinal cord injury

Richard J. Castriotta, Mark C. Wilde, Sandeep Sahay

Research output: Contribution to journal › Review article › peer-review

10 Scopus citations

Abstract

Pathophysiological changes resulting from spinal cord injury (SCI) result in four groups of sleep-related problems: (1) sleep-disordered breathing with hypoventilation and obstructive sleep apnea; (2) circadian rhythm disorders with disruption of melatonin and body temperature rhythms; (3) sensorimotor problems with restless legs and periodic limb movements; and (4) insomnia with multifactorial causes, including pain, paresthesias, mood and anxiety disorders and voiding problems in addition to the above. Sleep disorders are under-recognized in patients with SCI because sleep-related respiratory problems may be asymptomatic, and thus are not investigated. In patients with SCI, sleep-disordered breathing leads to neurocognitive impairment adversely affecting neurorehabilitation.

Original language	English (US)
Pages (from-to)	643-653
Number of pages	11
Journal	Sleep Medicine Clinics
Volume	7
Issue number	4
DOIs	https://doi.org/10.1016/j.jsmc.2012.10.005
State	Published - Jan 1 2012

Keywords

Circadian rhythm disorder
Hypoventilation
Insomnia
Melatonin
Restless legs
Sleep apnea
Sleep-disordered breathing
Spinal cord injury

ASJC Scopus subject areas

Neuropsychology and Physiological Psychology
Clinical Psychology
Clinical Neurology
Psychiatry and Mental health

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10.1016/j.jsmc.2012.10.005

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abstract = "Pathophysiological changes resulting from spinal cord injury (SCI) result in four groups of sleep-related problems: (1) sleep-disordered breathing with hypoventilation and obstructive sleep apnea; (2) circadian rhythm disorders with disruption of melatonin and body temperature rhythms; (3) sensorimotor problems with restless legs and periodic limb movements; and (4) insomnia with multifactorial causes, including pain, paresthesias, mood and anxiety disorders and voiding problems in addition to the above. Sleep disorders are under-recognized in patients with SCI because sleep-related respiratory problems may be asymptomatic, and thus are not investigated. In patients with SCI, sleep-disordered breathing leads to neurocognitive impairment adversely affecting neurorehabilitation.",

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AU - Wilde, Mark C.

AU - Sahay, Sandeep

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AB - Pathophysiological changes resulting from spinal cord injury (SCI) result in four groups of sleep-related problems: (1) sleep-disordered breathing with hypoventilation and obstructive sleep apnea; (2) circadian rhythm disorders with disruption of melatonin and body temperature rhythms; (3) sensorimotor problems with restless legs and periodic limb movements; and (4) insomnia with multifactorial causes, including pain, paresthesias, mood and anxiety disorders and voiding problems in addition to the above. Sleep disorders are under-recognized in patients with SCI because sleep-related respiratory problems may be asymptomatic, and thus are not investigated. In patients with SCI, sleep-disordered breathing leads to neurocognitive impairment adversely affecting neurorehabilitation.

KW - Circadian rhythm disorder

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KW - Melatonin

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Sleep disorders in spinal cord injury

Abstract

Keywords

ASJC Scopus subject areas

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