Why don't patients with cerebral hemorrhage sleep during the day or night, and what should be done about it?

Jun 05, 2023 Source: Cainiu Health
Dr. Yang Jun
Introduction
Insomnia in patients with cerebral hemorrhage, both during the day and night, is usually caused by factors such as mental tension, increased intracranial pressure, and impaired neurological function, and targeted treatment should be provided according to the specific underlying cause. In addition to these common reasons, other factors such as thalamic involvement, anxiety disorder, or depression may also be responsible. In such cases, timely medical evaluation and prompt treatment are necessary.

Insomnia in patients with cerebral hemorrhage, both during the day and night, is usually caused by factors such as mental tension, increased intracranial pressure, and impaired neurological function. Targeted treatment should be provided based on the specific underlying cause. The detailed analysis is as follows:

1. Mental tension

Patients with cerebral hemorrhage often experience symptoms such as depression and anxiety due to the illness itself, which can lead to sleep disturbances. These symptoms generally gradually improve once emotional stability is achieved, and usually do not require excessive concern.

2. Increased intracranial pressure

After cerebral hemorrhage, intracranial pressure may rise, causing restlessness, headache, dizziness, and other discomforts that affect sleep quality. Headache is often present as well. Patients should take medications such as spironolactone tablets or furosemide tablets under medical guidance for treatment.

3. Neurological dysfunction

Cerebral hemorrhage can lead to local hematoma formation, affecting nerve function and resulting in sleep disorders. In such cases, patients should take medications such as oryzanol tablets or mecobalamin tablets under a doctor's supervision to alleviate symptoms.

In addition to the above common causes, other factors such as thalamic involvement, anxiety disorder, or depression may also contribute. In these situations, timely medical evaluation and treatment are necessary.

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