HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Treatment For Sleep Disorder After Ischemic Stroke Of Left Thalamus

My husband 55 years old had an ischemic stroke of the left thalamus 6 months ago. He is unable to regulate his sleep. Sleeps up to 16 hours a day, and can t wake himself though he tries in the morning with alarm clocks and phone calls he requests from his sons. He s getting frustrated with it, and knows he ll need to be able to wake himself if he is ever to return to work. His memory and motor skills are functional - the sleep is the biggest issue now. Any ideas?
Mon, 13 Apr 2015
Report Abuse
Neurologist 's  Response
Hello !
I read your question and understand your concern. In my opinion he is suffering for hyipersomnia. It is more common in thalamic stroke. Unfortunately there is not a curable therapy to this problem. I would give some advises to try to regulate his sleep cycle:
-Sleep a few hours longer at night to avoid excessive sleepiness during the day.
-Exercise daily in the morning or early afternoon, if possible.
-Engage in enjoyable activities that require your full attention, such as spending time with friends, writing letters, or playing with a pet.
-Try to go to sleep and wake up at the same time every day.
-Get out of bed and stay out of bed until bedtime.
-Avoid foods that make you sleepy and heavy meals during the day.
-Avoid alcohol and caffeine.
I would also try Modafinil , which is a drug effective in primary hipersomnia. This drug must be prescribed under a neurologist prescription.
Hope to have been helpful!
Best wishes, Dr. Abaz Quka
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
Suggest Treatment For Sleep Disorder After Ischemic Stroke Of Left Thalamus

Hello ! I read your question and understand your concern. In my opinion he is suffering for hyipersomnia. It is more common in thalamic stroke. Unfortunately there is not a curable therapy to this problem. I would give some advises to try to regulate his sleep cycle: -Sleep a few hours longer at night to avoid excessive sleepiness during the day. -Exercise daily in the morning or early afternoon, if possible. -Engage in enjoyable activities that require your full attention, such as spending time with friends, writing letters, or playing with a pet. -Try to go to sleep and wake up at the same time every day. -Get out of bed and stay out of bed until bedtime. -Avoid foods that make you sleepy and heavy meals during the day. -Avoid alcohol and caffeine. I would also try Modafinil , which is a drug effective in primary hipersomnia. This drug must be prescribed under a neurologist prescription. Hope to have been helpful! Best wishes, Dr. Abaz Quka