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Paradoxical cognitive and language function recovery by zolpidem in a patient with traumatic brain injury: A case report.
Li, Jia; Li, Haozheng; Peng, Cheng; Xu, Weijian; Chen, Qiang; Liu, Gang.
Afiliación
  • Li J; Department of Rehabilitation Medicine, Shanghai Zhongye Hospital, Shanghai, China.
  • Li H; Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, China.
  • Peng C; Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, China.
  • Xu W; Department of Rehabilitation Medicine, Shanghai Zhongye Hospital, Shanghai, China.
  • Chen Q; Department of Health and Medical Sciences, School of Boertala Polytechnic, Xinjiang, China.
  • Liu G; Department of Rehabilitation Medicine, Shanghai Zhongye Hospital, Shanghai, China.
Medicine (Baltimore) ; 103(28): e38964, 2024 Jul 12.
Article en En | MEDLINE | ID: mdl-38996115
ABSTRACT

BACKGROUND:

Traumatic brain injury (TBI) is a significant public health issue, often resulting from traffic accidents and falls, leading to a wide spectrum of outcomes from mild concussions to severe brain damage. The neurorehabilitation of TBI focuses on enhancing recovery and improving quality of life. Zolpidem, traditionally used for short-term management of insomnia, has shown potential in improving cognitive functions and language in TBI patients. Advances in neuroimaging techniques, such as functional near-infrared spectroscopy (fNIRS), have facilitated the exploration of the effects of therapeutic interventions on brain activity and functional connectivity in TBI patients. CASE

SUMMARY:

We present the case of a 34-year-old male who sustained a TBI from a traffic collision. Despite severe impairments in cognitive and language functions, administration of 10 mg of zolpidem resulted in temporary but significant improvements in these areas, as evidenced by increased Mini-Mental State Examination scores and observed behavioral changes. fNIRS assessments before and after zolpidem administration revealed notable changes in cerebral cortex activity, including increased left hemisphere activation and a shift in functional connectivity to the bilateral frontal lobes, corresponding with the patient's improvement.

CONCLUSION:

This case study highlights the potential of zolpidem, a medication traditionally used for insomnia, in enhancing cognitive and verbal functions in a patient with TBI, suggesting a potential therapeutic role for zolpidem in neurorehabilitation, supported by changes in brain activity and connectivity observed through fNIRS. However, further investigation is warranted to validate these findings and elucidate zolpidem's long-term effects on cognitive and functional outcomes in TBI patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Espectroscopía Infrarroja Corta / Lesiones Traumáticas del Encéfalo / Zolpidem Límite: Adult / Humans / Male Idioma: En Revista: Medicine (Baltimore) Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Espectroscopía Infrarroja Corta / Lesiones Traumáticas del Encéfalo / Zolpidem Límite: Adult / Humans / Male Idioma: En Revista: Medicine (Baltimore) Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos