It it your doctor's COMPLETE RESPONSIBILITY TO GET YOU RECOVERED so you don't do this. You doctor needs to solve the problem instead of just telling you not to lie in bed. That would be a sign of an incompetent doctor! NO solutions!
Too much time in bed may harm brain health after TIA, mild stroke
After a mild stroke or transient ischaemic attack (TIA), longer in-bed time and sleep duration were linked to greater small vessel disease burden and poorer cognitive performance, underscoring the potential role of sleep patterns as modifiable risk factors for brain health after a stroke, according to a study published in the journal Neurology.
“These results show that disturbed sleep may be a marker of adverse brain health, even for people with mild strokes or TIAs,” said Joanna M. Wardlaw, MD, University of Edinburgh, Edinburgh, United Kingdom. “While many people know that a lack of sleep can lead to health issues, less is known about the effects of sleeping longer at night or spending a long time in bed trying to make up for having trouble sleeping --whether people are doing this consciously or not.”
The study involved 422 people (65.6 ± 11.8 years; 67% male) from Edinburgh and Hong Kong with an average age of 66 years who had a mild stroke or a TIA (NIHSS <7). Within 1 to 3 months after the stroke, cerebral small vessel disease was assessed on MRI, cognitive performance was assessed using Montreal Cognitive Assessment (MoCA), and sleep quality was analysed using a structured sleep questionnaire at baseline visit.
Longer in-bed time was independently associated with greater global small vessel disease and Fazekas periventricular white matter hyperintensity burden, and with lower total MoCA score after covariate adjustment. Longer sleep duration was independently associated with presence of cerebral microbleeds.
“More research is needed to confirm these findings and also to look at whether prolonged sleep has negative effects on people who have never had a stroke or TIA,” Dr. Wardlaw said. “Of course, research is also needed on whether improving people’s sleep patterns after stroke could ward off some of these possible detrimental effects.”
The researchers noted that their results should be interpreted with caution because they only examined baseline cross-sectional data, which cannot establish causal relationships.
“Some relationships between sleep, small vessel disease, and cognition may differ in a longitudinal context and at different time points after stroke,” they stated.
Reference: https://www.neurology.org/doi/10.1212/WNL.0000000000213734
SOURCE: American Academy of Neurology
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