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Headaches and their relationship to sleep.
Dent Clin North Am. 2001 Oct; 45(4):685-700.DC

Abstract

Despite the complex influences of normal sleep physiology and sleep disorders on the development or presentation of headache, it is important to recognize and understand these relationships. Successful outcomes depend on the provision of treatment interventions specifically directed toward each condition. Nocturnal or early morning headaches that are associated with OSA are often eradicated after the sleep disorder is successfully managed with CPAP, oral appliances, or surgery. Substantial improvement in headache can also result from the successful management of other sleep disorders that may incite headaches such as heavy snoring, PLMS, or the various forms of insomnia. To improve headache patterns associated with bruxism and TMD, it is often necessary to formulate a multidisciplinary treatment approach that combines oral appliance therapy, stress management, biofeedback, oromandibular physical therapy, and, at times, pharmacologic treatment (i.e., tricyclic antidepressant, intramuscular botulinum toxin injections). There are still many gaps in the understanding of the interrelationships of sleep physiology and headache pathophysiology. More well-designed clinical trials are needed so that enough data can be amassed for the formulation of evidence-based guidelines or consensus statements that can better delineate the identification, diagnostic evaluation, and treatment of sleep-related headache disorders and headaches that develop as a consequence of disordered sleep.

Authors+Show Affiliations

Headache Management and Pain Rehabilitation Programs, Spaulding Rehabilitation Hospital, Department of Neurology, Harvard Medical School, Boston, Massachusetts, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11699236

Citation

Biondi, D M.. "Headaches and Their Relationship to Sleep." Dental Clinics of North America, vol. 45, no. 4, 2001, pp. 685-700.
Biondi DM. Headaches and their relationship to sleep. Dent Clin North Am. 2001;45(4):685-700.
Biondi, D. M. (2001). Headaches and their relationship to sleep. Dental Clinics of North America, 45(4), 685-700.
Biondi DM. Headaches and Their Relationship to Sleep. Dent Clin North Am. 2001;45(4):685-700. PubMed PMID: 11699236.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Headaches and their relationship to sleep. A1 - Biondi,D M, PY - 2001/11/9/pubmed PY - 2002/1/5/medline PY - 2001/11/9/entrez SP - 685 EP - 700 JF - Dental clinics of North America JO - Dent Clin North Am VL - 45 IS - 4 N2 - Despite the complex influences of normal sleep physiology and sleep disorders on the development or presentation of headache, it is important to recognize and understand these relationships. Successful outcomes depend on the provision of treatment interventions specifically directed toward each condition. Nocturnal or early morning headaches that are associated with OSA are often eradicated after the sleep disorder is successfully managed with CPAP, oral appliances, or surgery. Substantial improvement in headache can also result from the successful management of other sleep disorders that may incite headaches such as heavy snoring, PLMS, or the various forms of insomnia. To improve headache patterns associated with bruxism and TMD, it is often necessary to formulate a multidisciplinary treatment approach that combines oral appliance therapy, stress management, biofeedback, oromandibular physical therapy, and, at times, pharmacologic treatment (i.e., tricyclic antidepressant, intramuscular botulinum toxin injections). There are still many gaps in the understanding of the interrelationships of sleep physiology and headache pathophysiology. More well-designed clinical trials are needed so that enough data can be amassed for the formulation of evidence-based guidelines or consensus statements that can better delineate the identification, diagnostic evaluation, and treatment of sleep-related headache disorders and headaches that develop as a consequence of disordered sleep. SN - 0011-8532 UR - https://www.unboundmedicine.com/medline/citation/11699236/Headaches_and_their_relationship_to_sleep_ L2 - https://medlineplus.gov/headache.html DB - PRIME DP - Unbound Medicine ER -
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