Headache characteristics in obstructive sleep apnea syndrome and insomnia

Alberti, Andrea; Mazzotta, Giovanni; Gallinella, E.; Sarchielli, Paola

doi:10.1111/j.1600-0404.2005.00372.x

Cited by 79 publications

(61 citation statements)

References 34 publications

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“…There is, however, some indication that a sizeable proportion of apneic patients with awakening headache would not fulfill the new criteria. In fact, headache coinciding with sleep apnea may present as migraine, tension, cluster, or nonspecific other headache disorder [31].…”

Section: Sleep Apnea Headachementioning

confidence: 99%

Sleep and headaches

Rains

Poceta²,

Penzien³

2008

Curr Neurol Neurosci Rep

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Sleep has long been recognized to both provoke and relieve headache. Epidemiologic research has associated sleep disorders with more frequent and severe headaches. Chronic daily, awakening, and morning headache patterns are particularly suggestive of sleep disorders, including sleep-related breathing disorders, insomnia, circadian rhythm disorders, and parasomnias. Snoring and other indicators of sleep-disordered breathing are the most commonly studied and are particularly salient because of the potential for headache to improve or resolve with treatment of sleep. In addition to sleep disorders, clinical research correlates specific headache diagnoses (eg, migraine, tension-type, and cluster) with chronobiologic patterns and sleep processes, implicating common anatomic structures and neurochemical processes involved in the regulation of sleep and headache. Evidence strongly supports screening for sleep disorders by headache practitioners. Headache management should identify and treat sleep disorders that may improve or resolve headache.

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Section: Sleep Apnea Headachementioning

confidence: 99%

Sleep and headaches

Rains

Poceta²,

Penzien³

2008

Curr Neurol Neurosci Rep

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show abstract

“…There is some indication that a sizeable proportion of apneic patients with awakening headache would not fulfill the new criteria. Alberti et al (9) observed that sleep apnea headache may present as: migraine, tension, cluster, or unclassifiable; bilateral (53%) or unilateral (47%); located frontal (33%), frontotemporal (28%), or temporal (16%); with pressing/tightening pain in the majority of patients (79%); with intensity mild (47%), moderate (37%) or severe (16%). Headaches remitted within 30 minutes of waking in only 40% of cases.…”

mentioning

confidence: 99%

Morning headache in habitual snorers

Rains

2011

Cephalalgia

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“…Although, International Classification of Headache Disorders, second edition (ICHD-II) classifies headache attributed to OSAS as headache attributed to impaired homeostasis [8], several reports revealed that the headache prevalence in OSAS varies between 11% -40% [6] [10]. The most frequent headaches reported in OSAS patients include morning headaches of tension-type, chronic daily headaches, exacerbation of migraine, or cluster headaches [6] [11] [12].…”

Section: Discussionmentioning

confidence: 99%

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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Headache characteristics in obstructive sleep apnea syndrome and insomnia

Cited by 79 publications

References 34 publications

Sleep and headaches

Sleep and headaches

Morning headache in habitual snorers

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

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