Deans' stroke musings: Evolution of sleep and sleep EEG after hemispheric stroke

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Wednesday, December 18, 2013

Evolution of sleep and sleep EEG after hemispheric stroke

I'm sure your doctor has already taken this this 11 year old article into account and contrasted it with more sleep needed post stroke, even more sleep, and less sleep if you are older.
Ask your doctor if sleeping pill use even counts as sleeping.

http://onlinelibrary.wiley.com/doi/10.1046/j.1365-2869.2002.00316.x/abstract

Jacqueline Vock¹,
Peter Achermann²,
Matthias Bischof¹,
Milena Milanova¹,
Caroline Müller¹,
Arto Nirkko¹,
Corinne Roth¹,
Claudio L. Bassetti¹

Article first published online: 11 DEC 2002

DOI: 10.1046/j.1365-2869.2002.00316.x

Issue

Journal of Sleep Research

Volume 11, Issue 4, pages 331–338, December 2002

Additional Information(Show All)

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Keywords:

stroke;
sleep;
EEG;
activity;
insomnia;
hypersomnia;
Epworth sleepiness score;
outcome

SUMMARY

The evolution of subjective sleep and sleep electroencephalogram (EEG) after hemispheric stroke have been rarely studied and the relationship of sleep variables to stroke outcome is essentially unknown. We studied 27 patients with first hemispheric ischaemic stroke and no sleep apnoea in the acute (1–8 days), subacute (9–35 days), and chronic phase (5–24 months) after stroke. Clinical assessment included estimated sleep time per 24 h (EST) and Epworth sleepiness score (ESS) before stroke, as well as EST, ESS and clinical outcome after stroke. Sleep EEG data from stroke patients were compared with data from 11 hospitalized controls and published norms. Changes in EST (>2 h, 38% of patients) and ESS (>3 points, 26%) were frequent but correlated poorly with sleep EEG changes. In the chronic phase no significant differences in sleep EEG between controls and patients were found. High sleep efficiency and low wakefulness after sleep onset in the acute phase were associated with a good long-term outcome. These two sleep EEG variables improved significantly from the acute to the subacute and chronic phase. In conclusion, hemispheric strokes can cause insomnia, hypersomnia or changes in sleep needs but only rarely persisting sleep EEG abnormalities. High sleep EEG continuity in the acute phase of stroke heralds a good clinical outcome.