Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2014
Sleep-wake pattern following gunshot suprachiasmatic damage.
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DelRosso Lourdes M, Hoque Romy, James Stephanie, Gonzalez-Toledo Eduardo, Chesson Andrew L
Аннотация
BACKGROUND: The suprachiasmatic nucleus (SCN) plays a critical role in maintaining melatonin and sleep-wake cycles.
METHODS/PATIENT: We report a case of 38-year-old woman who, after gunshot wound to the right temple, developed a sleep complaint of multiple nocturnal awakenings and several naps throughout the day.
RESULTS: Computerized tomography and magnetic resonance imaging revealed bilateral optic nerve and optic chiasm damage. Diagnostic polysomnography and actigraphy revealed an irregular sleep wake rhythm.
CONCLUSIONS: We speculate concurrent damage of the SCN and optic nerves bilaterally resulted in the posttraumatic irregular sleep-wake rhythm.
METHODS/PATIENT: We report a case of 38-year-old woman who, after gunshot wound to the right temple, developed a sleep complaint of multiple nocturnal awakenings and several naps throughout the day.
RESULTS: Computerized tomography and magnetic resonance imaging revealed bilateral optic nerve and optic chiasm damage. Diagnostic polysomnography and actigraphy revealed an irregular sleep wake rhythm.
CONCLUSIONS: We speculate concurrent damage of the SCN and optic nerves bilaterally resulted in the posttraumatic irregular sleep-wake rhythm.