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Volume 10 No. 04
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Accepted Papers

Case Reports

Sleep-Wake Pattern Following Gunshot Suprachiasmatic Damage

Lourdes M. DelRosso, M.D.1,2; Romy Hoque, M.D.1; Stephanie James, M.D2; Eduardo Gonzalez-Toledo, M.D. Ph.D.1,3; Andrew L. Chesson, M.D., F.A.A.S.M.1
1Division of Sleep Medicine, Department of Neurology, Louisiana State University School of Medicine, Shreveport, LA; 2Department of Family Medicine, Louisiana State University School of Medicine, Shreveport, LA; 3Department of Radiology, Louisiana State University School of Medicine, Shreveport, LA


The suprachiasmatic nucleus (SCN) plays a critical role in maintaining melatonin and sleep-wake cycles.


We report a case of 38-year-old woman who, after gunshot wound to the right temple, developed a sleep complaint of multiple nocturnal awakenings and several naps throughout the day.


Computerized tomography and magnetic resonance imaging revealed bilateral optic nerve and optic chiasm damage. Diagnostic polysomnography and actigraphy revealed an irregular sleep wake rhythm.


We speculate concurrent damage of the SCN and optic nerves bilaterally resulted in the posttraumatic irregular sleep-wake rhythm.


DelRosso LM; Hoque R; James S; Gonzalez-Toledo E; Chesson AL. Sleep-wake pattern following gunshot suprachiasmatic damage. J Clin Sleep Med 2014;10(4):443-445.

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