Narrative review of sleep and stroke

Journal of Thoracic Disease
Laura Pérez-Carbonell, Saima Bashir

Abstract

Sleep disorders, such as sleep-disordered breathing (SDB), insomnia or restless legs syndrome (RLS), are common in the general population and after stroke. In some cases, sleep disturbances are pre-existing, but can also appear de novo as a direct consequence of brain damage or due to stroke-related complications. Furthermore, some sleep conditions may act as a risk factor of stroke. This review explores the available evidence of the two-way relationship between sleep and stroke. Cardiovascular physiological changes during sleep are described, as well as the evidence on the relationship between stroke and sleep duration, SDB, RLS, insomnia, excessive daytime sleepiness (EDS), and circadian rhythm alterations. Potential changes on sleep architecture, and the links that may exist between sleep and functional outcomes after stroke are also discussed. Importantly, sleep-related disturbances may be associated with worse stroke recovery outcomes and increased cerebrovascular morbidity. It is therefore relevant that the bidirectional association between stroke and sleep is taken into consideration by clinicians taking care of these patients. Future research may focus on this mutual relationship for a better understanding of the impact...Continue Reading

Citations


❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.

Related Papers

Frontiers of Neurology and Neuroscience
Andrea Alberti
Neurobiology of Sleep and Circadian Rhythms
Simone B DussClaudio L Bassetti
Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
Sazal Patyar, Rakesh Raman Patyar
Expert Review of Neurotherapeutics
Mollie McDermottRonald D Chervin
© 2021 Meta ULC. All rights reserved