sleep problem after TBI & cerebellar degeneration

[usafbratt]

Hi,
My husband has a TBI since 2004 now has cerebellar degeneration. He recently had a sleep study done it showed that his stage 2 is only 5% of the time and stage 3, 4 is 0% of the time with a large percentage of waking up times. He does not have sleep Apnea, but 02 sats dip to the mid 80's. Does anybody have any suggestions. I wrote all his symptoms down at the nurology forum and the cancer forum because he has so many symptoms. Thank you Lisa

[TBIrehabdoc]

Xyrem, which I have prescribed for about 10 of my patients, is the only sleep medication to increase stage 3 and 4 sleep.  FDA-approved only for narcolepsy and only available thru one pharmacy nationwide, I have not had too much trouble getting off-label approval for my patients.

best,
[email protected]

[Abhijeet Deshmukh, MD]

Hello.

Sorry about the problems your husband is having. In my view, the sleep disturbance is due to the TBI. The trauma is responsible for the reduced Oxygen saturation. Additionally, the lungs may not be functioning to the optimum.

I would suggest you try for a multidisciplinary approach for the sleep. You may consult a sleep specialist, who may formulate some treatment plan after discussing the issues with the TBI and the lung problems.

Regards