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Chronic Traumatic Brain

The primary acceleration-deceleration mechanism of traumatic brain injury (TBI) leaves the brain structures that regulate sleep and wakefulness vulnerable to pathological changes, and there are external secondary factors experienced post-injury that can contribute to the development of difficulties initiating or maintaining sleep, early morning awakening, and/or dissatisfaction with sleep. Patients with TBI are at risk for developing chronic sleep-wake disturbances, and complaints of insomnia and hypersomnia are commonly reported. The objective of this study was to examine sleep architecture and explore the presence and types of sleep disorders in adults with chronic TBI. Participants (N=13, mean time post injury 4.5 years) underwent polysomnography and the Maintenance of Wakefulness Test.

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