Cortical excitability changes in patients with sleep-wake disturbances after traumatic brain injury.

Abstract:

:Although chronic sleepiness is common after head trauma, the cause remains unclear. Transcranial magnetic stimulation (TMS) represents a useful complementary approach in the study of sleep pathophysiology. We aimed to determine in this study whether post-traumatic sleep-wake disturbances (SWD) are associated with changes in excitability of the cerebral cortex. TMS was performed 3 months after mild to moderate traumatic brain injury (TBI) in 11 patients with subjective excessive daytime sleepiness (EDS; defined by the Epworth Sleepiness Scale ≥10), 12 patients with objective EDS (as defined by mean sleep latency <5 on multiple sleep latency tests), 11 patients with fatigue (defined by daytime tiredness without signs of subjective or objective EDS), 10 patients with post-traumatic hypersomnia "sensu strictu," and 14 control subjects. Measures of cortical excitability included central motor conduction time, resting motor threshold (RMT), short-latency intracortical inhibition (SICI), and intracortical facilitation to paired-TMS. RMT was higher and SICI was more pronounced in the patients with objective EDS than in the control subjects. In the other patients all TMS parameters did not differ significantly from the controls. Similarly to that reported in patients with narcolepsy, the cortical hypoexcitability may reflect the deficiency of the excitatory hypocretin/orexin-neurotransmitter system. These observations may provide new insights into the causes of chronic sleepiness in patients with TBI. A better understanding of the pathophysiology of post-traumatic SWD may also lead to better therapeutic strategies in these patients.

journal_name

J Neurotrauma

journal_title

Journal of neurotrauma

authors

Nardone R,Bergmann J,Kunz A,Caleri F,Seidl M,Tezzon F,Gerstenbrand F,Trinka E,Golaszewski S

doi

10.1089/neu.2010.1748

subject

Has Abstract

pub_date

2011-07-01 00:00:00

pages

1165-71

issue

7

eissn

0897-7151

issn

1557-9042

journal_volume

28

pub_type

杂志文章
  • Cytokines and metabolic dysfunction after severe head injury.

    abstract::Patients with head injury must overcome central as well as peripheral metabolic insults. In addition to specific tissue damage to the brain, a cellular biochemical cascade occurs that can negatively affect organ function, cause a systemic response to injury, and may cause secondary tissue injury. The metabolites invol...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章,评审

    doi:10.1089/neu.1994.11.447

    authors: Ott L,McClain CJ,Gillespie M,Young B

    更新日期:1994-10-01 00:00:00

  • Traumatic brain injury in rats induces lung injury and systemic immune suppression.

    abstract::Traumatic brain injury (TBI) is frequently complicated by acute lung injury, which is predictive for poor outcome. However, it is unclear whether lung injury develops independently or as a result of mechanical ventilation after TBI. Further, TBI is strongly associated with the development of pneumonia, suggesting a sp...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2013.3060

    authors: Vermeij JD,Aslami H,Fluiter K,Roelofs JJ,van den Bergh WM,Juffermans NP,Schultz MJ,Van der Sluijs K,van de Beek D,van Westerloo DJ

    更新日期:2013-12-15 00:00:00

  • Predictors of Response to 4-Aminopyridine in Chronic Canine Spinal Cord Injury.

    abstract::4-Aminopyridine (4AP), a potassium channel antagonist, can improve hindlimb motor function in dogs with chronic thoracolumbar spinal cord injury (SCI); however, individual response is variable. We hypothesized that injury characteristics would differ between dogs that do and do not respond to 4AP. Our objective was to...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2018.5975

    authors: Lewis MJ,Laber E,Olby NJ

    更新日期:2019-05-01 00:00:00

  • Characterization of a cervical spinal cord hemicontusion injury in mice using the infinite horizon impactor.

    abstract::The majority of clinical spinal cord injuries (SCIs) are contusive and occur at the cervical level of the spinal cord. Most scientists and clinicians agree that the preclinical evaluation of novel candidate treatments should include testing in a cervical SCI contusion model. Because mice are increasingly used because ...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2012.2405

    authors: Streijger F,Beernink TM,Lee JH,Bhatnagar T,Park S,Kwon BK,Tetzlaff W

    更新日期:2013-05-15 00:00:00

  • Subacute Pain after Traumatic Brain Injury Is Associated with Lower Insular N-Acetylaspartate Concentrations.

    abstract::Persistent pain is experienced by more than 50% of persons who sustain a traumatic brain injury (TBI), and more than 30% experience significant pain as early as 6 weeks after injury. Although neuropathic pain is a common consequence after CNS injuries, little attention has been given to neuropathic pain symptoms after...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2015.4098

    authors: Widerström-Noga E,Govind V,Adcock JP,Levin BE,Maudsley AA

    更新日期:2016-07-15 00:00:00

  • Circular Ribonucleic Acid Expression Profile in Mouse Cortex after Traumatic Brain Injury.

    abstract::Traumatic brain injury (TBI) causes high rates of worldwide death and morbidity because of the complex secondary injury cascade. Circular ribonucleic acid (RNA) (circRNA), a type of RNA that forms a covalently closed continuous loop, may be involved in the regulation of secondary injury because it is expressed widely ...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2018.5647

    authors: Jiang YJ,Cao SQ,Gao LB,Wang YY,Zhou B,Hu X,Pu Y,Li ZL,Wang Q,Xiao X,Zhao L,Wang S,Liang WB,Zhang L

    更新日期:2019-04-01 00:00:00

  • Controlled cortical impact results in an extensive loss of dendritic spines that is not mediated by injury-induced amyloid-beta accumulation.

    abstract::The clinical manifestations that occur after traumatic brain injury (TBI) include a wide range of cognitive, emotional, and behavioral deficits. The loss of excitatory synapses could potentially explain why such diverse symptoms occur after TBI, and a recent preclinical study has demonstrated a loss of dendritic spine...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2013.2960

    authors: Winston CN,Chellappa D,Wilkins T,Barton DJ,Washington PM,Loane DJ,Zapple DN,Burns MP

    更新日期:2013-12-01 00:00:00

  • Monitoring of reactive oxygen species production after traumatic brain injury in rats with microdialysis and the 4-hydroxybenzoic acid trapping method.

    abstract::The detection of reactive oxygen species (ROS) after traumatic brain injury (TBI) is based on indirect methods due to the high reactivity and short half-life of ROS in biological tissue. The commonly used salicylate trapping method has several disadvantages making it unsuitable for human use. We have evaluated 4-hydro...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/089771501317095250

    authors: Marklund N,Clausen F,Lewander T,Hillered L

    更新日期:2001-11-01 00:00:00

  • The effects of repeat traumatic brain injury on the pituitary in adolescent rats.

    abstract::Adolescents are one of the highest groups at risk for sustaining both traumatic brain injury (TBI) and repeat TBI (RTBI). Consequences of endocrine dysfunction following TBI have been routinely explored in adults, but studies in adolescents are limited, and show an incidence rate of endocrine dysfunction in 16-61% in ...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2013.2990

    authors: Greco T,Hovda D,Prins M

    更新日期:2013-12-01 00:00:00

  • Does Specialized Inpatient Rehabilitation Affect Whether or Not People with Traumatic Spinal Cord Injury Return Home?

    abstract::Return to living at home is an important patient-reported outcome following traumatic spinal cord injury (tSCI). Specialized inpatient rehabilitation assists such patients in maximizing function and independence. Our project aim was to describe those patients receiving specialized rehabilitation after tSCI in Canada, ...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2016.4930

    authors: Cheng CL,Plashkes T,Shen T,Fallah N,Humphreys S,O'Connell C,Linassi AG,Ho C,Short C,Ethans K,Charbonneau R,Paquet J,Noonan VK

    更新日期:2017-10-15 00:00:00

  • Transplantation of neural progenitor and stem cells: developmental insights may suggest new therapies for spinal cord and other CNS dysfunction.

    abstract::Multipotent neural progenitors and stem cells may integrate appropriately into the developing and degenerating central nervous system. They may also be effective in the replacement of genes, cells, and nondiffusible factors in either a widespread or a more circumscribed manner, depending on the therapeutic demands of ...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章,评审

    doi:10.1089/neu.1999.16.675

    authors: Park KI,Liu S,Flax JD,Nissim S,Stieg PE,Snyder EY

    更新日期:1999-08-01 00:00:00

  • Deficient pain modulatory systems in patients with mild traumatic brain and chronic post-traumatic headache: implications for its mechanism.

    abstract::Although the prevalence rate of chronic post-traumatic headache (CPTHA) after mild traumatic brain injury (TBI) reaches up to 95%, its mechanism is unknown, and little is known about the characteristics of the pain system in this condition. Our aim was to investigate the capabilities of two pain modulatory systems amo...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2014.3359

    authors: Defrin R,Riabinin M,Feingold Y,Schreiber S,Pick CG

    更新日期:2015-01-01 00:00:00

  • Motoneuron loss associated with chronic locomotion impairments after spinal cord contusion in the rat.

    abstract::Information on the nature of deficits and adaptive mechanisms occurring after spinal cord injury is essential to the design of strategies for promoting functional recovery. Motor impairments and compensations were quantified by three-dimensional kinematic analysis in freely walking rats, 6 months after mild cervical (...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2005.22.544

    authors: Collazos-Castro JE,Soto VM,Gutiérrez-Dávila M,Nieto-Sampedro M

    更新日期:2005-05-01 00:00:00

  • Genetic deletion and pharmacological inhibition of Nogo-66 receptor impairs cognitive outcome after traumatic brain injury in mice.

    abstract::Functional recovery is markedly restricted following traumatic brain injury (TBI), partly due to myelin-associated inhibitors including Nogo-A, myelin-associated glycoprotein (MAG) and oligodendrocyte myelin glycoprotein (OMgp), that all bind to the Nogo-66 receptor-1 (NgR1). In previous studies, pharmacological neutr...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2009.1255

    authors: Hånell A,Clausen F,Björk M,Jansson K,Philipson O,Nilsson LN,Hillered L,Weinreb PH,Lee D,McIntosh TK,Gimbel DA,Strittmatter SM,Marklund N

    更新日期:2010-07-01 00:00:00

  • Neuronal and glial cell number in the hippocampus after experimental traumatic brain injury: analysis by stereological estimation.

    abstract::Fluid percussion (FP) brain injury causes spatial memory dysfunction in rats regardless of injury location (midline vs. lateral). Standard histological analysis of the injured brains shows hippocampal neuronal loss after lateral, but not midline FP injury. We have used the optical volume fractionator (OVF) stereologic...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/089771503770195786

    authors: Grady MS,Charleston JS,Maris D,Witgen BM,Lifshitz J

    更新日期:2003-10-01 00:00:00

  • Redistribution of neurofilaments and accumulation of beta-amyloid protein after brain injury by rotational acceleration of the head.

    abstract::Rotational acceleration of the head, as occurs in falls, car crashes, and sport injuries, may result in diffuse brain damage, with acute and chronic neurological and psychiatric symptoms. The present study addresses the effects of rotational trauma on the neuronal cytoskeleton, which stabilizes perikaryal, dendritic a...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/08977150360547080

    authors: Hamberger A,Huang YL,Zhu H,Bao F,Ding M,Blennow K,Olsson A,Hansson HA,Viano D,Haglid KG

    更新日期:2003-02-01 00:00:00

  • Progesterone reduces secondary damage, preserves white matter, and improves locomotor outcome after spinal cord contusion.

    abstract::Progesterone is an anti-inflammatory and promyelinating agent after spinal cord injury, but its effectiveness on functional recovery is still controversial. In the current study, we tested the effects of chronic progesterone administration on tissue preservation and functional recovery in a clinically relevant model o...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2013.3162

    authors: Garcia-Ovejero D,González S,Paniagua-Torija B,Lima A,Molina-Holgado E,De Nicola AF,Labombarda F

    更新日期:2014-05-01 00:00:00

  • The uncoupling agent 2,4-dinitrophenol improves mitochondrial homeostasis following striatal quinolinic acid injections.

    abstract::It is now generally accepted that excitotoxic cell death involves bioenergetic failure resulting from the cycling of Ca2+ and the generation of reactive oxygen species (ROS) by mitochondria. Both Ca2+ cycling and ROS formation by mitochondria are dependent on the mitochondrial membrane potential (Deltapsi(m)) that res...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2005.22.1142

    authors: Korde AS,Sullivan PG,Maragos WF

    更新日期:2005-10-01 00:00:00

  • Relative risk of mortality after traumatic brain injury: a population-based study of the role of age and injury severity.

    abstract::To test if observed vs. expected mortality differs by age among traumatic brain injury (TBI) cases, a population-based, historical cohort study was conducted in Olmsted County, Minnesota. From all residents with any diagnosis suggestive of TBI 1985-1999, we randomly sampled 7,800 and reviewed their medical records to ...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2006.0119

    authors: Flaada JT,Leibson CL,Mandrekar JN,Diehl N,Perkins PK,Brown AW,Malec JF

    更新日期:2007-03-01 00:00:00

  • Olfactory Training in Post-Traumatic Smell Impairment: Mild Improvement in Threshold Performances: Results from a Randomized Controlled Trial.

    abstract::Traumatic Brain Injury (TBI) can be associated with partial or total smell loss. Recent studies have suggested that olfactory outcome can be positively modulated after olfactory training (OT). This study's aim was to investigate OT's potential role in smell recovery after TBI-induced olfactory loss. A prospective, ran...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章,随机对照试验

    doi:10.1089/neu.2017.5230

    authors: Langdon C,Lehrer E,Berenguer J,Laxe S,Alobid I,Quintó L,Mariño-Sánchez F,Bernabeu M,Marin C,Mullol J

    更新日期:2018-11-15 00:00:00

  • Aging exacerbates intracerebral hemorrhage-induced brain injury.

    abstract::Aging may be an important factor affecting brain injury by intracerebral hemorrhage (ICH). In the present study, we investigated the responses of glial cells and monocytes to intracerebral hemorrhage in normal and aged rats. ICH was induced by microinjecting autologous whole blood (15 microL) into the striatum of youn...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2008.0630

    authors: Lee JC,Cho GS,Choi BO,Kim HC,Kim WK

    更新日期:2009-09-01 00:00:00

  • Spinal endothelin content is elevated after moderate local trauma in the rat to levels associated with locomotor dysfunction after intrathecal injection.

    abstract::The role of endothelin (ET) in the pathophysiology of secondary neural damage after experimental spinal cord injury (SCI) was examined in a rat model of weight-drop contusion injury. Initial studies demonstrated a significant increase in spinal ET concentrations in a 7.5-mm segment of tissue (centered at the impact si...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.1996.13.93

    authors: Salzman SK,Acosta R,Beck G,Madden J,Boxer B,Ohlstein EH

    更新日期:1996-02-01 00:00:00

  • Comparing model performance for survival prediction using total Glasgow Coma Scale and its components in traumatic brain injury.

    abstract::The Glasgow Coma Scale (GCS) score is used in clinical practice for patient assessment and communication among clinicians and also in outcome prediction models such as the Trauma and Injury Severity Score (TRIS). The objective of this study is to determine which GCS subscore is best associated with outcome, taking tim...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2012.2438

    authors: Lesko MM,Jenks T,O'Brien SJ,Childs C,Bouamra O,Woodford M,Lecky F

    更新日期:2013-01-01 00:00:00

  • Voluntary muscle weakness and co-activation after chronic cervical spinal cord injury.

    abstract::Muscle strength was assessed from the maximum force that could be exerted voluntarily by triceps brachii muscles of 72 people with chronic cervical spinal cord injury (SCI) at or above C7, and 18 able-bodied (A-B) subjects. The magnitude of co-activation was estimated from the ratio of biceps brachii surface EMG to tr...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.1998.15.149

    authors: Thomas CK,Tucker ME,Bigland-Ritchie B

    更新日期:1998-02-01 00:00:00

  • Multiple Mild Traumatic Brain Injuries Lead to Visual Dysfunction in a Mouse Model.

    abstract::Visual dysfunction is a common occurrence after traumatic brain injury (TBI). We investigated in this study effects of single or multiple mild TBI on visual function in mice using a closed head injury model that permits unconstrained head movement after impact. Adult mice were briefly anesthetized with isoflurane and ...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2019.6602

    authors: Desai A,Chen H,Kim HY

    更新日期:2020-01-15 00:00:00

  • Immediate hypertensive response to fluid percussion brain injury may be related to intracerebral hemorrhage and hypothalamic damage.

    abstract::Fluid percussion brain injury is associated with an immediate rise in mean arterial pressure (MAP). However, the cerebral morphologic basis for this response is still not clear. Thirty-four anesthetized rats were injured using a lateral craniotomy preparation. In 19 rats, impact level was set at 1.73 +/- 0.04 atm, and...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.1991.8.219

    authors: Yuan XQ,Wade CE,Clifford CB

    更新日期:1991-10-01 00:00:00

  • Long-term gliosis and molecular changes in the cervical spinal cord of the rhesus monkey after traumatic brain injury.

    abstract::Recovery of fine motor skills after traumatic brain injury (TBI) is variable, with some patients showing progressive improvements over time while others show poor recovery. We therefore studied possible cellular mechanisms accompanying the recovery process in a non-human primate model system, in which the lateral fron...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2009.0966

    authors: Nagamoto-Combs K,Morecraft RJ,Darling WG,Combs CK

    更新日期:2010-03-01 00:00:00

  • In vitro stretch injury induces time- and severity-dependent alterations of STEP phosphorylation and proteolysis in neurons.

    abstract::Striatal-enriched tyrosine phosphatase (STEP) has been identified as a component of physiological and pathophysiological signaling pathways mediated by N-methyl-d-aspartate (NMDA) receptor/calcineurin/calpain activation. Activation of these pathways produces a subsequent change in STEP isoform expression or activation...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2011.2253

    authors: Mesfin MN,von Reyn CR,Mott RE,Putt ME,Meaney DF

    更新日期:2012-07-01 00:00:00

  • Effects of nimodipine on posttraumatic spinal cord ischemia in baboons.

    abstract::Posttraumatic ischemia appears to be largely responsible for the extension of lesions in acute injury of the spinal cord. In the present study, we have evaluated the putative improvement of axonal function by the calcium channel blocker nimodipine after acute trauma of the spinal cord. Three techniques were used: (1) ...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.1993.10.201

    authors: Pointillart V,Gense D,Gross C,Bidabé AM,Gin AM,Rivel J,Caillé JM,Sénégas J

    更新日期:1993-07-01 00:00:00

  • Prostaglandins contribute to impaired angiotensin II-induced cerebral vasodilation after brain injury.

    abstract::This study characterized the effects of fluid percussion brain injury (FPI) on angiotensin II (AII)-induced cerebral vasodilation, determined the role of prostaglandins in such changes and evaluated the contribution of two subtypes of AII receptors (AT(1) and AT(2)) to the effects of AII on cerebrovascular regulation....

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/089771502320914688

    authors: Baranov D,Armstead WM

    更新日期:2002-11-01 00:00:00