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Individuals who have suffered a traumatic brain injury often complain of fatigue and insomnia. Evaluation and treatment can be complicated because these symptoms may have multiple causes: pain, anxiety, depression, obstructive sleep apnea, or primary TBI effects. Here, sleep disorder specialists screened 42 patients with daytime fatigue and sleep problems after mild TBI.
The researchers studied the 15 patients with suspected circadian rhythm sleep disorder (CRSD), which has two types: delayed sleep phase syndrome (DSPS), in which sleep is delayed (e.g., occurring from 4 AM to noon), and irregular sleep-wake pattern (ISWP), in which sleep is variable and disorganized. Patients complained of difficulties in falling asleep or waking up plus hea…