Sleep-Wake Disturbances After Traumatic Brain Injury: Synthesis of Human and Animal Studies

Sandsmark, Danielle K.; Elliott, Jonathan E.; Lim, Miranda M.

doi:10.1093/sleep/zsx044

Cited by 183Traumatic Brain Injury ResearchSleep and related disordersTraumatic Brain Injury and Neurovascular Disturbances

Sleep-Wake Disturbances After Traumatic Brain Injury: Synthesis of Human and Animal Studies

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Sandsmark, Danielle K., Elliott, Jonathan E., Lim, Miranda M.·2017·Sleep

DOI 10.1093/sleep/zsx044PMC PMC6251652

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Abstract

Sleep-wake disturbances following traumatic brain injury (TBI) are increasingly recognized as a serious consequence following injury and as a barrier to recovery. Injury-induced sleep-wake disturbances can persist for years, often impairing quality of life. Recently, there has been a nearly exponential increase in the number of primary research articles published on the pathophysiology and mechanisms underlying sleep-wake disturbances after TBI, both in animal models and in humans, including in the pediatric population. In this review, we summarize over 200 articles on the topic, most of which were identified objectively using reproducible online search terms in PubMed. Although these studies differ in terms of methodology and detailed outcomes; overall, recent research describes a common phenotype of excessive daytime sleepiness, nighttime sleep fragmentation, insomnia, and electroencephalography spectral changes after TBI. Given the heterogeneity of the human disease phenotype, rigorous translation of animal models to the human condition is critical to our understanding of the mechanisms and of the temporal course of sleep-wake disturbances after injury. Arguably, this is most effectively accomplished when animal and human studies are performed by the same or collaborating research programs. Given the number of symptoms associated with TBI that are intimately related to, or directly stem from sleep dysfunction, sleep-wake disorders represent an important area in which mechanistic-based therapies may substantially impact recovery after TBI.

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Animal models recapitulate sleep phenotypes of disordered sleep in humans, especially excessive daytime sleepiness.
“Animal models recapitulate sleep phenotypes of disordered sleep in humans, especially that of EDS.22,44,45,48,49,64–73”
From Effects of Traumatic Brain Injury on the Orexin/Hypocretin System (2025) · cites this paper as [22]

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Authors: Sandsmark, D. K., Elliott, J. E., & Lim, M. M.
Affiliations: University of Pennsylvania (US)
Oregon Health & Science University (US)
ORCID: Sandsmark, Danielle K.
Elliott, Jonathan E.
Lim, Miranda M.
Venue: Sleep
Publisher: Oxford University Press (OUP)
Published: 2017-03-17
Volume: 40
Issue: 5
ISSN: 0161-8105 (ISSN-L)
1550-9109
DOI: 10.1093/sleep/zsx044
PMC: PMC6251652
OpenAlex: W2596622414
Cited by: 183
References: 245
Citations by year: 2026: 5 · 2025: 19 · 2024: 14 · 2023: 19 · 2022: 31 · 2021: 29 · 2020: 25 · 2019: 19 · 2018: 20 · 2017: 2
FWCI: 2.39
Type: journal article
Language: en
Open access: green
europepmc.org
Licence: public-domain
Locations: SLEEP (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion, public-domain)
PubMed Central (publishedVersion, public-domain)
PubMed (publishedVersion)
Funders: U.S. Department of Veterans Affairs (IK2 BX002712)
National Center for Complementary and Integrative Health (T32AT002688)
Topics: Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
Keywords: traumatic brain injury, sleep-wake disturbances, excessive daytime sleepiness, sleep fragmentation, insomnia, pediatric traumatic brain injury, sleep disorders, brain injury recovery
MeSH terms: Brain Injuries, Traumatic, Animals, Disease Models, Animal, Electroencephalography, Humans, Sleep Initiation and Maintenance Disorders, Phenotype, Sleep Wake Disorders

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Sleep-Wake Disturbances After Traumatic Brain Injury: Synthesis of Human and Animal Studies

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