Parálisis del sueño hipnopómpica con alucinaciones y síndrome de estallido cefálico: una asociación infrecuente

Unusual Headache Syndromes

“…In 10–20% of patients, attacks are accompanied by a sensation of flashing lights . Some cases of EHS are followed by a sleep paralysis . EHS may exacerbate migraine attacks, in patients with chronic migraine …”

“…The differential diagnosis includes thunderclap headaches, hypnic headache, migraine, cluster headache, and paroxysmal hemicranias, as well as nocturnal nightmares and sleep myoclonus (sleep starts) …”

“…10 Some cases of EHS are followed by a sleep paralysis. 12,13 EHS may exacerbate migraine attacks, in patients with chronic migraine. 10 The pattern of episodes is variable.…”

“…The differential diagnosis includes thunderclap headaches, hypnic headache, migraine, cluster headache, and paroxysmal hemicranias, as well as nocturnal nightmares and sleep myoclonus (sleep starts). 13,14 Sacks and Svanborgn 9 have recorded attacks during polysomnography in 5 patients, all when they were awake and relaxed. In 2 patients, they found an alerting effect; the others had no electroencephalography (EEG) changes.…”

“…8,14 In patients who complain of sleeping difficulties due to frequent attacks, clomipramine, 50 mg at night, has been used with success. 9 Topiramate, 200 mg per day; 15 nifedipine, 90 mg per day; 18 flunarizine, 10 mg per day; 19 and imipramine 10 mg plus alprazolam 0.25 mg, at night 13 have been reported as effective.…”