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Sleep-wake pattern following gunshot suprachiasmatic damage.

Lourdes M DelRosso, Romy Hoque, Stephanie James, Eduardo Gonzalez-Toledo, Andrew L Chesson
Case Report Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine 2014 19 sitasi
PubMed DOI
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Abstract

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.

TL;DR

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 is reported.

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