Steroids: A Wake-Up Call in TBI Induced Hypersomnolence
Author(s) -
Margarita Oks,
Sanjeev V. Kothare
Publication year - 2019
Publication title -
journal of clinical sleep medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.529
H-Index - 92
eISSN - 1550-9397
pISSN - 1550-9389
DOI - 10.5664/jcsm.7894
Subject(s) - medicine , wake , wakefulness , audiology , physical medicine and rehabilitation , psychiatry , electroencephalography , engineering , aerospace engineering
Hypersomnolence is one of the more common symptoms reported after mild traumatic brain injury (TBI) and often one of the most difficult to treat. This case series presents a cohort of patients with TBI related hypersomnolence associated with a de novo autoimmune process that successfully resolved with pulse dose corticosteroid treatment. When associated with an autoimmune inflammatory process, corticosteroids may serve to stabilize the blood brain barrier leading to the successful and sustained resolution of TBI induced sleepiness.
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