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Chronic headaches and sleep disorders.
Arch Intern Med. 1997 Aug 11-25; 157(15):1701-5.AI

Abstract

BACKGROUND

Headaches and sleep problems are common complaints in the daily practice of the general practitioner. Since the relationship between headaches and sleep complaints is complex, clear models of interaction are needed for adequate diagnosis and treatment.

METHODS

All subjects, successively seen in a headache clinic during a defined period, were subdivided based on the time of onset of cephalalgia. Subjects who reported onset of headache on a long-term basis, during the nocturnal or early morning (before final awakening) period, were systematically studied by a headache clinic and a sleep disorders center. This subgroup represented 17% of the total headache group.

RESULTS

Although the results of the headache clinic study did not differentiate this subgroup from the other patients, the sleep disorders center's interviews and questionnaires demonstrated a significant impact of the sleep disorders on headache and daytime function. Nocturnal monitoring during sleep identified specific sleep disorders in 55% of the subjects with onset of headache during the nocturnal sleep period. Follow-up after treatment of the sleep disorder showed that all subjects with an identifiable sleep disorder reported either an improvement or absence of their headache. The subjects identified with periodic limb movement syndrome were mostly those who reported only an improvement in their sleep and still needed treatment for their headaches. The question of the interaction and association of sleep-related headache and periodic limb movement syndrome is unresolved.

CONCLUSION

Headaches occurring during the night or early morning are often related to a sleep disturbance.

Authors+Show Affiliations

Laboratory EEG/Sleep, Centro de Estudos Egas Moniz, Hospital de Santa Maria, Lisboa, Portugal.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9250231

Citation

Paiva, T, et al. "Chronic Headaches and Sleep Disorders." Archives of Internal Medicine, vol. 157, no. 15, 1997, pp. 1701-5.
Paiva T, Farinha A, Martins A, et al. Chronic headaches and sleep disorders. Arch Intern Med. 1997;157(15):1701-5.
Paiva, T., Farinha, A., Martins, A., Batista, A., & Guilleminault, C. (1997). Chronic headaches and sleep disorders. Archives of Internal Medicine, 157(15), 1701-5.
Paiva T, et al. Chronic Headaches and Sleep Disorders. Arch Intern Med. 1997 Aug 11-25;157(15):1701-5. PubMed PMID: 9250231.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chronic headaches and sleep disorders. AU - Paiva,T, AU - Farinha,A, AU - Martins,A, AU - Batista,A, AU - Guilleminault,C, PY - 1997/8/11/pubmed PY - 1997/8/11/medline PY - 1997/8/11/entrez SP - 1701 EP - 5 JF - Archives of internal medicine JO - Arch Intern Med VL - 157 IS - 15 N2 - BACKGROUND: Headaches and sleep problems are common complaints in the daily practice of the general practitioner. Since the relationship between headaches and sleep complaints is complex, clear models of interaction are needed for adequate diagnosis and treatment. METHODS: All subjects, successively seen in a headache clinic during a defined period, were subdivided based on the time of onset of cephalalgia. Subjects who reported onset of headache on a long-term basis, during the nocturnal or early morning (before final awakening) period, were systematically studied by a headache clinic and a sleep disorders center. This subgroup represented 17% of the total headache group. RESULTS: Although the results of the headache clinic study did not differentiate this subgroup from the other patients, the sleep disorders center's interviews and questionnaires demonstrated a significant impact of the sleep disorders on headache and daytime function. Nocturnal monitoring during sleep identified specific sleep disorders in 55% of the subjects with onset of headache during the nocturnal sleep period. Follow-up after treatment of the sleep disorder showed that all subjects with an identifiable sleep disorder reported either an improvement or absence of their headache. The subjects identified with periodic limb movement syndrome were mostly those who reported only an improvement in their sleep and still needed treatment for their headaches. The question of the interaction and association of sleep-related headache and periodic limb movement syndrome is unresolved. CONCLUSION: Headaches occurring during the night or early morning are often related to a sleep disturbance. SN - 0003-9926 UR - https://www.unboundmedicine.com/medline/citation/9250231/Chronic_headaches_and_sleep_disorders_ DB - PRIME DP - Unbound Medicine ER -