Post-Surgery Sleep Issues: Recovery After Brain Surgery - Neurology

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Postoperative Sleep Issues After Brain Surgery


Hello, my mother fainted due to dizziness on March 1, 2016, and after being examined at the hospital, it was discovered that there was air in her brain.
The cause was a fracture in her skull from a previous fall (around the eye and nose area).
I researched online and found that this condition is called pneumocephalus, is that correct? On March 2, she underwent surgery to drain the air and fluid.
The doctor said her recovery was good, so on March 9, she had a second surgery for minimally invasive repair of the fracture in the upper middle part of her nose.

She may have just had the surgery, but she is having trouble sleeping and often wakes up.
There is a slight increase in snoring due to some minor wounds, and she frequently wakes herself up from her own snoring.
Other than that, her recovery seems to be going well.
She was discharged on March 18.
Now that she is back home, her sleep is still not very good.
Is this related to her surgery? Is this situation normal? I am very worried about the impact on her brain!

Ning Zhen, 30~39 year old female. Ask Date: 2016/03/23

Dr. Gao Chunde reply Neurology


Certain physical ailments can often lead to disturbances in sleep.
Postoperative complications are typically better understood by experienced surgeons.
Your father should be a neurosurgeon, so it would be beneficial to consult them for their expertise in this area.

Reply Date: 2016/03/23

More Info


Post-surgery sleep issues, especially after brain surgery, are quite common and can be attributed to several factors. Your mother's situation, following her surgeries for the air and fluid in her brain, is not unusual. After any significant surgical procedure, particularly those involving the brain, patients may experience a range of sleep disturbances.
Firstly, it’s important to understand that the brain is a complex organ, and any surgical intervention can lead to temporary changes in its function. The recovery process can be influenced by factors such as pain, anxiety, medications, and the body's natural healing processes. In your mother's case, the surgeries she underwent to remove air and repair a skull fracture could have caused physical discomfort, which can disrupt sleep.
Pain management is crucial in the post-operative period. If your mother is experiencing discomfort from her surgical sites, this could lead to difficulty falling asleep or staying asleep. Additionally, the use of anesthesia and pain medications can also impact sleep patterns. Opioids, for instance, are commonly prescribed for pain relief but can lead to side effects such as drowsiness or, conversely, insomnia. It’s essential to discuss her pain management plan with her healthcare provider to ensure she is receiving appropriate care.

Another factor to consider is anxiety and emotional stress related to her surgery and recovery. The fear of complications or concerns about her health can lead to heightened anxiety, which often interferes with sleep. Encouraging relaxation techniques, such as deep breathing exercises, meditation, or gentle stretching, may help alleviate some of this anxiety and promote better sleep.

The presence of snoring or sleep apnea can also contribute to sleep disturbances. If your mother is snoring more than usual, it may indicate that her airway is partially obstructed during sleep, which can lead to frequent awakenings. This could be exacerbated by swelling or changes in her nasal passages following surgery. If this is a concern, it may be worthwhile to consult with a sleep specialist who can evaluate her sleep patterns and recommend appropriate interventions.

In terms of recovery, it’s important to note that sleep disturbances can be a normal part of the healing process. The brain requires time to heal, and as it does, sleep patterns may gradually return to normal. However, if her sleep issues persist or worsen, it would be advisable to follow up with her healthcare provider. They may recommend a sleep study or other assessments to rule out any underlying conditions that could be affecting her sleep.

In summary, while your mother's sleep disturbances post-surgery are concerning, they are not uncommon. Factors such as pain, anxiety, medication side effects, and potential airway issues can all contribute to her difficulties sleeping. It’s essential to maintain open communication with her healthcare team to address these issues and ensure she receives the support she needs during her recovery. With time and appropriate management, her sleep should improve as her body heals.

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