Characterization of Symptoms of Sleep Disorders in Children With Headache

Luc, Michael; Gupta, Anu; Birnberg, Jonathan M.; Reddick, Darian; Kohrman, Michael

doi:10.1016/j.pediatrneurol.2005.06.009

Cited by 60 publications

(39 citation statements)

References 13 publications

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“…Similar to our results, habitual snoring was found to be 24% in OSAS patients with headaches, particularly chronic daily headaches [6] [19]. Despite our results, excessive daytime sleepiness frequency in children with headache was reported as 5.83% in a previous study [20].…”

Section: Discussionsupporting

confidence: 66%

Obstructive Sleep Apnea Related Symptom Prevalence in Patients with Headache Presented to Neurology Outpatient Clinic: Results of a Preliminary Study*

Değirmenci¹,

Balbay²,

Öztürk³

et al. 2014

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Approximately 20% of patients with sleep apnea will have headaches and 25% of patients with other sleep disorders will also experience headaches. We aim to evaluate sleep apnea related symptom prevalence in patient with headache presenting to neurology outpatient clinics. Twenty four patients with headache were asked for sleep apnea symptoms. The prevalence of snoring, excessive daytime sleepiness and witnessed apnea was 33.3%, 20.8% and 4.2%, respectively. Among sleep apnea symptoms, the presence of at least one symptom, at least two symptoms and all three symptoms were 9 (37.5%), 4 (16.7%) and 1 (4.2%), respectively. The frequency of major symptoms of sleep apnea syndrome was high in patient with nonspecific headache. In the light of literature review, in case of a suspicion of sleep disorder in a headache patient, it would be appropriate to question the major symptoms of OSAS, and to refer the patient to a polysomnographic evaluation for an objective diagnosis. This approach would be helpful to improve the quality of life of patients with headache.

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Section: Discussionsupporting

confidence: 66%

Obstructive Sleep Apnea Related Symptom Prevalence in Patients with Headache Presented to Neurology Outpatient Clinic: Results of a Preliminary Study*

Değirmenci¹,

Balbay²,

Öztürk³

et al. 2014

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“…Three potential correlations between sleep disorders and primary headache were described by Paiva 17 . First, headache may be the cause of sleep disorders, which has not been shown in previous studies, except in cases associated with serious psychiatric disorders and abuse of medications 16,18 . Second, sleep disturbances may cause headaches, as demonstrated in cases of sleep apnea 19 .…”

Section: Discussionmentioning

confidence: 85%

“…Several previous studies have looked for an association between sleep disorders and headaches in children and adolescents 16 . Three potential correlations between sleep disorders and primary headache were described by Paiva 17 .…”

Section: Discussionmentioning

confidence: 99%

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Sleep terrors antecedent is common in adolescents with migraine

Fialho

Pinho

Lin

et al. 2013

Arq. Neuro-Psiquiatr.

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Migraine headache is the most common neurological complaint in adolescents 1 . It causes a significant number of missed school days 2 and is associated with several comorbidities, such as sleep disorders, anxiety and depression 3 .Sleep terrors (STs) are considered a parasomnia that are characterized by a sudden arousal from slow-wave sleep with a piercing scream or cry accompanied by autonomic and behavioral manifestations of intense fear 4 . The prevalence is approximately 3% in children and less than 1% in adults 4,5 .Typically, STs are observed in children between the ages of 4 and 12 years and, as in sleepwalking, tend to resolve spontaneously during adolescence 4 . On average, this disorder lasts 3.9 years, but it has a tendency to continue for a longer time period in children with a family history of STs 6 .The correlation between parasomnias and migraines has been described in previous studies, and a common pathophysiologic mechanism that involves the serotonergic system has been suggested 7-9 . ABSTRACTMigraines and sleep terrors (STs) are highly prevalent disorders with striking similarities. The aim of this study was to evaluate the effect of the antecedent of STs by comparing adolescents suffering from migraines with healthy controls in a large consecutive series. Methods: All patients were subjected to a detailed headache questionnaire and were instructed to keep a headache diary during a two-month period. The age range was 10 to 19 years. The diagnosis of STs was defined according to the International Classification of Sleep Disorders. Results: A total of 158 participants were evaluated. Of these participants, 50 suffered from episodic migraines (EMs), 57 had chronic migraines (CMs) and 51 were control subjects (CG). Participants who had a history of STs had significantly more migraines than participants who did not. Conclusions: Migraine is strongly associated with a history of STs in the adolescent population independent of demographics and pain intensity.Key words: night terrors, migraine disorders, headache, adolescent, sleep disorders. Palavras-Chave: terrores noturnos, transtornos de enxaqueca, cefaleia, adolescentes, transtornos do sono. RESUMO

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“…In a recent population-based survey, the relative risk of all sleep symptoms investigated, except enuresis, was significantly higher in children with migraine; among parasomnias only sleep talking, somnambulism and bruxism were reported [14]. On the contrary, Luc et al [15] did not find a significant higher prevalence of any parasomnias in a small clinical series of children with migraine. Up to now, sleepwalking and sleep terrors, non-rapid eye movement (NREM) sleep parasomnias, are more prevalent in migraineurs, nevertheless REM parasomnias are less extensively evaluated in migraine patients: only the pioneer study of Bruni et al [9] reported an association between migraine and sleep paralysis, whereas, hypnagogic hallucination was associated with TTH but not with migraine.…”

Section: Migraine and Parasomniasmentioning

confidence: 85%

Migraine and sleep disorders

et al. 2012

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The burden of migraine strongly increases, considering its linkage with sleep disorders. Migraine is positively associated with many sleep-complaint disorders; some are confirmed by several studies, such as restless leg syndrome, whereas others still remain uncertain or controversial, e.g. narcolepsy. Many studies have investigated the association between headache and other sleep disturbances such as daytime sleepiness, insomnia, snoring and/or apnea, but only a few have focused on migraine. Highlighting the comorbidity between migraine and sleep disorders is important to improve treatment strategies and to extend the knowledge of migraine pathophysiology.

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Characterization of Symptoms of Sleep Disorders in Children With Headache

Cited by 60 publications

References 13 publications

Obstructive Sleep Apnea Related Symptom Prevalence in Patients with Headache Presented to Neurology Outpatient Clinic: Results of a Preliminary Study*

Obstructive Sleep Apnea Related Symptom Prevalence in Patients with Headache Presented to Neurology Outpatient Clinic: Results of a Preliminary Study*

Sleep terrors antecedent is common in adolescents with migraine

Migraine and sleep disorders

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