Skip to main content
Top
Published in: Neurocritical Care 3/2016

01-06-2016 | Review Article

The Effectiveness of Zolpidem for the Treatment of Disorders of Consciousness

Authors: Calvin Tucker, Kirsten Sandhu

Published in: Neurocritical Care | Issue 3/2016

Login to get access

Abstract

Approximately, five million people in the United States live with the residual effects of brain injury. The causes of acquired brain injury can be categorized as traumatic brain injury or non-traumatic brain injury. There are currently no treatments shown to consistently enhance recovery from disorders of consciousness (DOC). Sporadic recovery from DOC after the administration of various pharmacological agents has been described in several case reports. Increase in arousal after zolpidem administration is seen in patients with vegetative state or minimally conscious state for treatment of restlessness and disturbances of their sleep-wake cycle. The use of zolpidem could be reasonable in select patients with neurologic injury but promising integrity of brain structures, such as intact deep and superficial gray matter structures and white matter connections.
Literature
2.
go back to reference Colantonio A, Gerber G, Bayley M, et al. Differential profiles for patients with traumatic and non-traumatic brain injury. J Rehabil Med. 2011;43:311–5.CrossRefPubMed Colantonio A, Gerber G, Bayley M, et al. Differential profiles for patients with traumatic and non-traumatic brain injury. J Rehabil Med. 2011;43:311–5.CrossRefPubMed
3.
go back to reference Shames J, Ring H. Transient reversal of anoxic brain injury-related minimally conscious state after zolpidem administration: a case report. Arch Phys Med Rehabil. 2008;89:386–8.CrossRefPubMed Shames J, Ring H. Transient reversal of anoxic brain injury-related minimally conscious state after zolpidem administration: a case report. Arch Phys Med Rehabil. 2008;89:386–8.CrossRefPubMed
4.
go back to reference Whyte J, Myers R. Incidence of clinically significant responses to zolpidem among patients with disorders of consciousness. Am J Phys Med Rehabil. 2009;88:410–8.CrossRefPubMed Whyte J, Myers R. Incidence of clinically significant responses to zolpidem among patients with disorders of consciousness. Am J Phys Med Rehabil. 2009;88:410–8.CrossRefPubMed
5.
go back to reference Pistoia F, Mura E, Govoni S, et al. Awakenings and awareness recovery in disorders of consciousness. Is there a role for drugs? CNS Drugs. 2010;24:625–38.CrossRefPubMed Pistoia F, Mura E, Govoni S, et al. Awakenings and awareness recovery in disorders of consciousness. Is there a role for drugs? CNS Drugs. 2010;24:625–38.CrossRefPubMed
7.
go back to reference Cohen S, Duong T. Increased arousal in a patient with anoxic brain injury after administration of zolpidem. Am J Phys Med Rehabil. 2008;87:229–31.CrossRefPubMed Cohen S, Duong T. Increased arousal in a patient with anoxic brain injury after administration of zolpidem. Am J Phys Med Rehabil. 2008;87:229–31.CrossRefPubMed
8.
go back to reference Clauss RP. Neurotransmitters in coma, vegetative and minimally conscious states, pharmacological interventions. Med Hypotheses. 2010;75(3):287–90.CrossRefPubMed Clauss RP. Neurotransmitters in coma, vegetative and minimally conscious states, pharmacological interventions. Med Hypotheses. 2010;75(3):287–90.CrossRefPubMed
9.
go back to reference Brefel-Courbon C, Payoux P, Ory F, et al. Clinical and imaging evidence of zolpidem effect in hypoxic encephalopathy. Ann Neurol. 2007;62(1):102–5.CrossRefPubMed Brefel-Courbon C, Payoux P, Ory F, et al. Clinical and imaging evidence of zolpidem effect in hypoxic encephalopathy. Ann Neurol. 2007;62(1):102–5.CrossRefPubMed
10.
go back to reference Schiff ND. Recovery of consciousness after severe brain injury: the role of arousal regulation mechanisms and some speculation on the heart-brain interface. Clevel Clin J Med. 2010;77(Suppl 3):S27–33.CrossRef Schiff ND. Recovery of consciousness after severe brain injury: the role of arousal regulation mechanisms and some speculation on the heart-brain interface. Clevel Clin J Med. 2010;77(Suppl 3):S27–33.CrossRef
11.
go back to reference Singh R, McDonald C, Dawson K, et al. Zolpidem in a minimally conscious state. Brain Inj. 2008;22:103–6.CrossRefPubMed Singh R, McDonald C, Dawson K, et al. Zolpidem in a minimally conscious state. Brain Inj. 2008;22:103–6.CrossRefPubMed
12.
go back to reference Cohen L, Chaaban B, Habert M. Transient improvement of aphasia with zolpidem. N Engl J Med. 2004;350:949–50.CrossRefPubMed Cohen L, Chaaban B, Habert M. Transient improvement of aphasia with zolpidem. N Engl J Med. 2004;350:949–50.CrossRefPubMed
13.
go back to reference Lo Y, Tan E, Ratnagopal P, et al. Zolpidem and its effects on hypoxic encephalopathy. Ann Neurol. 2008;64:477–8.CrossRefPubMed Lo Y, Tan E, Ratnagopal P, et al. Zolpidem and its effects on hypoxic encephalopathy. Ann Neurol. 2008;64:477–8.CrossRefPubMed
14.
go back to reference Brefel-Courbon C, Payoux P, Ory F, et al. Clinical and imaging evidence of zolpidem effect in hypoxic encephalopathy. Ann Neurol. 2007;62:102–5.CrossRefPubMed Brefel-Courbon C, Payoux P, Ory F, et al. Clinical and imaging evidence of zolpidem effect in hypoxic encephalopathy. Ann Neurol. 2007;62:102–5.CrossRefPubMed
15.
go back to reference Whyte J, Rajan R, Rosenbaun A, et al. Zolpidem and restoration of consciousness. Am J Phys Med Rehabil. 2014;93:101–13.CrossRefPubMed Whyte J, Rajan R, Rosenbaun A, et al. Zolpidem and restoration of consciousness. Am J Phys Med Rehabil. 2014;93:101–13.CrossRefPubMed
16.
go back to reference Du B, Shan A, Zhang Y, et al. Zolpidem arouses patients in vegetative state after brain injury: quantitative evaluation and indications. Am J Med Sci. 2014;347:178–82.CrossRefPubMed Du B, Shan A, Zhang Y, et al. Zolpidem arouses patients in vegetative state after brain injury: quantitative evaluation and indications. Am J Med Sci. 2014;347:178–82.CrossRefPubMed
17.
go back to reference Rodriguez-Rojas R, Machado C, Alvarez L, et al. Zolpidem induces paradoxical metabolic and vascular changes in patient with PVS. Brain Inj. 2013;27:1320–9.CrossRefPubMed Rodriguez-Rojas R, Machado C, Alvarez L, et al. Zolpidem induces paradoxical metabolic and vascular changes in patient with PVS. Brain Inj. 2013;27:1320–9.CrossRefPubMed
18.
go back to reference Machado C, Estevez M, Perez-Nellar J, et al. Autonomic, EEG, and behavioral arousal signs in a PVS case after zolpidem intake. Can J Neurol Sci. 2011;38:341–4.CrossRefPubMed Machado C, Estevez M, Perez-Nellar J, et al. Autonomic, EEG, and behavioral arousal signs in a PVS case after zolpidem intake. Can J Neurol Sci. 2011;38:341–4.CrossRefPubMed
19.
go back to reference Clauss R, Nel W. Drug induced arousal from the permanent vegetative state. NeuroRehabilitation. 2006;21:23–8.PubMed Clauss R, Nel W. Drug induced arousal from the permanent vegetative state. NeuroRehabilitation. 2006;21:23–8.PubMed
20.
go back to reference Thonnard M, Grosseries O, Demertzi A, et al. Effect of zolpidem in chronic disorders of consciousness: a prospective open-label study. Funct Neurol. 2014;11:1–6. Thonnard M, Grosseries O, Demertzi A, et al. Effect of zolpidem in chronic disorders of consciousness: a prospective open-label study. Funct Neurol. 2014;11:1–6.
21.
go back to reference Williams ST, Conte MM, Goldfine AM, et al. Common resting brain dynamics indicate a possible mechanism underlying zolpidem response in severe brain injury. Elife. 2013;2:e01157.PubMedPubMedCentral Williams ST, Conte MM, Goldfine AM, et al. Common resting brain dynamics indicate a possible mechanism underlying zolpidem response in severe brain injury. Elife. 2013;2:e01157.PubMedPubMedCentral
22.
go back to reference Giacino JT, Fins JJ, Laureys S, Schiff ND. Disorders of consciousness after acquired brain injury: the state of the science. Nat Rev Neurol. 2014;10:99–114.CrossRefPubMed Giacino JT, Fins JJ, Laureys S, Schiff ND. Disorders of consciousness after acquired brain injury: the state of the science. Nat Rev Neurol. 2014;10:99–114.CrossRefPubMed
23.
go back to reference Chatelle C, Thibaut A, Gosseries O. Changes in cerebral metabolism in patients with a minimally conscious state responding to zolpidem. Front Hum Neurosci. 2014;8:917.CrossRefPubMedPubMedCentral Chatelle C, Thibaut A, Gosseries O. Changes in cerebral metabolism in patients with a minimally conscious state responding to zolpidem. Front Hum Neurosci. 2014;8:917.CrossRefPubMedPubMedCentral
Metadata
Title
The Effectiveness of Zolpidem for the Treatment of Disorders of Consciousness
Authors
Calvin Tucker
Kirsten Sandhu
Publication date
01-06-2016
Publisher
Springer US
Published in
Neurocritical Care / Issue 3/2016
Print ISSN: 1541-6933
Electronic ISSN: 1556-0961
DOI
https://doi.org/10.1007/s12028-015-0227-5

Other articles of this Issue 3/2016

Neurocritical Care 3/2016 Go to the issue