Morning headaches in patients with sleep disorders: a systematic polysomnographic study

Göder, Robert; Friege, Lars; Fritzer, Gunther; Strenge, H; Aldenhoff, Josef B.; Hinze-Selch, D.

doi:10.1016/s1389-9457(03)00104-7

Cited by 58 publications

(34 citation statements)

References 28 publications

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“…Detailed studies suggest that OAS in particular is associated with morning headache [17][18][19]. Göder et al [20]. reported that sleep disturbances, independent of their origin, lead to morning headache, which is further supported by Blau's study [21] concerning sleep deprivation headache.…”

Section: Discussionmentioning

confidence: 92%

“…The authors stated that alterations in brain regions that were equally involved in sleep regulation and nociception [24] contributed to a dysfunction of central pain-inhibitory activity, resulting in the occurrence of headache after awakening in vulnerable patients. Other hypotheses that were discussed were autonomic surges and blood pressure dysregulation associated with arousals, fragmented sleep and sleep stage alteration, increased intracranial pressure during apnoeas, daytime sleepiness or fatigue and changes in head and neck position with altered muscle tension [20]. At this point, as a clinical based study, we do not know which factor is most important.…”

Section: Discussionmentioning

confidence: 98%

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Headache in patients with chronic obstructive pulmonary disease: effects of chronic hypoxaemia

Özge

Kaleağası

et al. 2006

J Headache Pain

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The frequency and characteristics of headache in patients with chronic obstructive pulmonary disease (COPD) are not clear and there are only a few studies that have assessed the relationship between chronic hypoxaemia and headache. We performed this study in order to evaluate the frequency and characteristics of headache in COPD patients. A total of 119 patients, with a mean age of 63.4 ± 8.2 years, diagnosed with moderate or severe stable COPD were included in the study. Overall 31.9% of the patients complained of headache and 45.4% were reported to have sleep disorders. There were significant effects of family history of COPD, having other systemic disorders or sleep disorders (snoring, bruxism, restless leg syndrome, etc.) and laboratory data of chronic hypoxaemia and airway obstruction on headache co–morbidity. In conclusion, possibly being a specific subtype of elderly headache, headache in patients with moderate or severe COPD is a common problem and future studies are needed to obtain more knowledge about its pathophysiological and clinical basis.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 98%

Headache in patients with chronic obstructive pulmonary disease: effects of chronic hypoxaemia

Özge

Kaleağası

et al. 2006

J Headache Pain

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“…[52][53][54] Anxiety and depression may not entirely explain sleep disorders in adult migraineurs. 55 Several studies, the majority based on sleep questionnaires, including some that were population based, have drawn attention to the association between sleep disorders and childhood headache.…”

Section: Disorders Of Sleepmentioning

confidence: 99%

Chronic Daily Headache in Children and Adolescents: A Multi-Faceted Syndrome

Seshia

Wang

Abu‐Arafeh

et al. 2010

Can. j. neurol. sci.

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In 1982, Mathew et al first used the term "chronic daily headache" (CDH) to describe headaches that occurred almost daily in adults. 1 Twelve years later, Holden et al published the first report on children with CDH. 2 Since then, there have been at least 21 reports globally. Cumulative knowledge suggests that CDH is not only a common chronic pain syndrome in children (the term will be used to include adolescents), but also a multi-faceted, and often complex one. The appreciation of the many aspects of CDH is pivotal to clinical research and management, and is the thrust of our review. DEFINITIONS AND CLASSIFICATION: THE CONTINUING CONTROVERSY BackgroundIn the almost 30 years since the original description, CDH continues to evoke passionate debate. Globally accepted criteria ABSTRACT: Chronic daily headache (CDH) is a multi-faceted, often complex pain syndrome in children and adolescents. Chronic daily headache may be primary or secondary. Chronic migraine and chronic tension-type are the most frequent subtypes. Chronic daily headache is co-morbid with adverse life events, anxiety and depressive disorders, possibly with other psychiatric disorders, other pain syndromes and sleep disorders; these conditions contribute to initiating and maintaining CDH. Hence, early management of episodic headache and treatment of associated conditions are crucial to prevention. There is evidence for the benefit of psychological therapies, principally relaxation and cognitive behavioral, and promising information on acupuncture for CDH. Data on drug treatment are based primarily on open label studies. The controversies surrounding CDH are discussed and proposals for improvement presented. The multifaceted nature of CDH makes it a good candidate for a multi-axial classification system. Such an approach should facilitate biopsychosocial management and enhance consistency in clinical research.RÉSUMÉ: La céphalée quotidienne chronique chez les enfants et les adolescents, un syndrome à multiples facettes. La céphalée quotidienne chronique (CQC) est un syndrome douloureux à multiples facettes qui est souvent complexe chez les enfants et les adolescents. La céphalée quotidienne chronique peut être primaire ou secondaire. La migraine chronique et la céphalée de tension chronique sont les sous-types les plus fréquents. La CQC est une comorbidité des incidents fâcheux de la vie, de l'anxiété et des troubles dépressifs, possiblement liée à d'autres troubles psychiatriques, syndromes douloureux et troubles du sommeil. Ces états contribuent à amorcer et à maintenir la CQC. Le traitement précoce de la céphalée épisodique et le traitement des comorbidités est donc crucial pour la prévention. Certaines données démontrent un bénéfice des psychothérapies, principalement de la relaxation et de la thérapie cognitivo-comportementale, et l'acuponcture pour le traitement de la CQC semble prometteuse. Les données sur le traitement médicamenteux sont basées principalement sur des études ouvertes. Nous discutons des controverses entourant la CQC et des mo...

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“…No agreement was achieved about the pathogenesis of headache in patients affected by SAS as some authors maintain a major role of hypoxia-hypercapnia, while some others attribute more importance to sleep fragmentation. In a group of SAS patients Goder et al showed that the occurrence of morning headache was associated with a decrease in total sleep time, sleep efficiency and amount of rapid eye movement sleep with an increase in the wake-time during the preceding night's polysomnographic recording [11]. In the same patients the occurrence of morning headache was not associated with changes in mean oxygen saturation or apnoea/hypopnoea indices when nights with and without following headache were compared [11].…”

Section: Introductionmentioning

confidence: 99%

“…In a group of SAS patients Goder et al showed that the occurrence of morning headache was associated with a decrease in total sleep time, sleep efficiency and amount of rapid eye movement sleep with an increase in the wake-time during the preceding night's polysomnographic recording [11]. In the same patients the occurrence of morning headache was not associated with changes in mean oxygen saturation or apnoea/hypopnoea indices when nights with and without following headache were compared [11]. Prudenzano et al [12] did not find any difference when comparing sleep apnoea patients with and without sleep apnoea headache as for Body Mass Index, RDI, Apnoea-Hypopnoea Index and Sleep Fragmentation Index.…”

Section: Introductionmentioning

confidence: 99%

Headache and sleep: clinical and therapeutical aspects

et al. 2004

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Sleep disorders and headache are frequently comorbid. Anatomical, biochemical and physiologic common features and pathways could explain the bidirectional influence between sleep disorders and headache. One of the troubles often encountered in the evaluation of the comorbidity between sleep and headache disorders is that patients referring to tertiary headache centres are mainly concerned about their pain and generally do not tend to spontaneously report their possible sleep problems. But when they are specifically asked, very interesting data do emerge. The comorbidity headache-insomnia offers clinicians the opportunity to choose drugs able to control both disorders, avoiding molecules which could make insomnia worse while improving headache. A polysomnographic recording should be performed when a sleep apnoea headache is suspected and if diagnosis is confirmed, headache therapy should consist of the therapy of sleep apnoea itself. Morning headache in patients with periodic limb movements disorder during sleep is not responsive to standard headache therapy but needs to be treated with specific dopamine agonists which improve headache while relieving nocturnal movements.

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Morning headaches in patients with sleep disorders: a systematic polysomnographic study

Cited by 58 publications

References 28 publications

Headache in patients with chronic obstructive pulmonary disease: effects of chronic hypoxaemia

Headache in patients with chronic obstructive pulmonary disease: effects of chronic hypoxaemia

Chronic Daily Headache in Children and Adolescents: A Multi-Faceted Syndrome

Headache and sleep: clinical and therapeutical aspects

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