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Neurorehabilitation and Neural Repair
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The Natural History of Sleep Disturbances in Severe Missile Head Injury

J.J.M. Askenasy

Loewenstein Hospital, affiliated with Tel Aviv University, Tel Aviv

I. Winkler

Loewenstein Hospital, affiliated with Tel Aviv University, Tel Aviv

J. Gruskiewicz

the Rambam Medical Center, affiliated with Haifa University, Haifa, Israel

I. Braun

the Rambam Medical Center, affiliated with Haifa University, Haifa, Israel

H. Behroosi

the Rambam Medical Center, affiliated with Haifa University, Haifa, Israel

Twenty patients who had suffered missile head injuries (MHI) during the Lebanese War were separated into three groups, based on clinical criteria. All the patients were monitored polysomnographically (PSG) 3 and 12 months after the injury. The records were double-blind scored. The clinical and PSG data were compared, and discrepancies were found between the clinical and PSG evaluation of sleep in MHI patients. Sleep disturbance is not an obligatory feature of MHI patients. MHI associated with hypersomnia was found to have a good prognosis. Insomnia is usually associated with long coma and severe diffuse brain lesions in MHI patients and has a much more severe prognosis than hypersomnia in these patients.

Key Words: Missile head injury • —Coma • —Diffuse brain lesion • —Sleep efficiency-Duration of awakening • —Normal sleep • —Insomnia • —Hypersomnia.

Neurorehabilitation and Neural Repair, Vol. 3, No. 2, 93-96 (1989)
DOI: 10.1177/136140968900300204
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