Journal
INTERNATIONAL JOURNAL OF REHABILITATION RESEARCH
Volume 42, Issue 3, Pages 285-288Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/MRR.0000000000000364
Keywords
brain injuries; case reports; continuous positive airway pressure; obstructive; rehabilitation; sleep apnoea
Categories
Funding
- Veterans Health Administration Central Office VA TBI Model Systems Program of Research
- General Dynamics Information Technology from the Defense and Veterans Brain Injury Center (DVBIC) [W91YTZ-13-C-0015]
- U.S. Department of Veterans Affairs grants [1 I50 HX001233-01, W81XWH-13-2-0095]
- U.S. Department of Defense Congressionally Directed Medical Research Programs
- Patient-Centered Outcomes Research Institute (PCORI) [CER-1511-33005]
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Survivors of brain injury who have disorders of consciousness often have chronic functional deficits and disability. Obstructive sleep apnoea, a sleep-related breathing disorder, is a medical comorbid condition common among persons with brain injury and is injurious to health. Research on obstructive sleep apnoea treatment among brain-injured patients-particularly persons with disorders of consciousness-is sparse. This case study describes a patient with severe brain injury admitted for neurorehabilitation in a minimally conscious state. Obstructive sleep apnoea was identified and treated. Treatment compliance was variable, and functional motor and cognitive improvement were observed during periods of better compliance. Study design does not permit casual attribution for functional improvement, but identification and treatment of obstructive sleep apnoea are suggested as a possible way to promote recovery after brain injury.
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