Studies in Nocturnal Migraine

Dexter, J. D.; Riley, Thomas J.

doi:10.1111/j.1526-4610.1975.hed1501051.x

Cited by 80 publications

(51 citation statements)

References 7 publications

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“…This hallucination seemed of hypnopompic nature, which may have to do with the fact that the migraine attacks of this patient started at night (so-called nocturnal migraine) and caused the patient to awake 21. Although the auditory hallucinations did occur in the same timeframe as the frequent migraine attacks, and although they may have occurred an hour before the headache started, this was difficult to ascertain because the hallucinations and the headache started at night when the patient slept and woke him up from sleep.…”

Section: Discussionmentioning

confidence: 96%

Hearing voices: does it give your patient a headache? A case of auditory hallucinations as acoustic aura in migraine

Feltz-Cornelis¹,

Biemans²,

Timmer³

2012

NDT

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ObjectiveAuditory hallucinations are generally considered to be a psychotic symptom. However, they do occur without other psychotic symptoms in a substantive number of cases in the general population and can cause a lot of individual distress because of the supposed association with schizophrenia. We describe a case of nonpsychotic auditory hallucinations occurring in the context of migraine.MethodCase report and literature review.ResultsA 40-year-old man presented with imperative auditory hallucinations that caused depressive and anxiety symptoms. He reported migraine with visual aura as well which started at the same time as the auditory hallucinations. The auditory hallucinations occurred in the context of nocturnal migraine attacks, preceding them as aura. No psychotic disorder was present. After treatment of the migraine with propranolol 40 mg twice daily, explanation of the etiology of the hallucinations, and mirtazapine 45 mg daily, the migraine subsided and no further hallucinations occurred. The patient recovered.DiscussionVisual auras have been described in migraine and occur quite often. Auditory hallucinations as aura in migraine have been described in children without psychosis, but this is the first case describing auditory hallucinations without psychosis as aura in migraine in an adult. For description of this kind of hallucination, DSM-IV lacks an appropriate category.ConclusionPsychiatrists should consider migraine with acoustic aura as a possible etiological factor in patients without further psychotic symptoms presenting with auditory hallucinations, and they should ask for headache symptoms when they take the history. Prognosis may be favorable if the migraine is properly treated. Research is needed to explore the pathophysiological mechanism of auditory hallucinations as aura in migraine.

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Section: Discussionmentioning

confidence: 96%

Hearing voices: does it give your patient a headache? A case of auditory hallucinations as acoustic aura in migraine

Feltz-Cornelis¹,

Biemans²,

Timmer³

2012

NDT

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“…The headache symptoms of cluster headache, chronic paroxysmal hemicrania, and possibly migraines, in some cases, tend to be REM sleep related, explaining the common report of sleeprelated headaches in these conditions [175][176][177][178][179]. This fact explains the worsening of these symptoms after the discontinuation of REM sleepsuppressing agents (resulting in a rebound of REM sleep), such as tricyclic antidepressants, monoamine oxidase inhibitors, clonidine, alcohol, and amphetamines [180][181][182].…”

Section: Central Nervous System Parasomniasmentioning

confidence: 98%

Non–Rapid Eye Movement Sleep Parasomnias

Mahowald

Schenck

2005

Neurologic Clinics

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Parasomnias are unpleasant or undesirable behavioral or experiential phenomena that occur during sleep. Once believed unitary phenomena related to psychiatric disorders, it is now clear that parasomnias result from several different phenomena and usually are not related to psychiatric conditions. Parasomnias are categorized as primary (disorders of the sleep states) and secondary (disorders of other organ systems that manifest themselves during sleep). Primary sleep parasomnias can be classified according to the sleep state of origin: rapid eye movement sleep, non-rapid eye movement sleep, and miscellaneous (those not respecting sleep state). Secondary sleep parasomnias are classified by the organ system involved.

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“…Researchers working with migraine patients, for example, have found different sleep changes in migraine, such as increased REM latency and increased total REM sleep time, while other studies found excessive sleep in migraineurs with lengthened stage 3 and stage 4 sleep (Dexter & Riley, 1975). Researchers working with migraine patients, for example, have found different sleep changes in migraine, such as increased REM latency and increased total REM sleep time, while other studies found excessive sleep in migraineurs with lengthened stage 3 and stage 4 sleep (Dexter & Riley, 1975).…”

Section: Headachementioning

confidence: 99%

Sleep in chronic pain: problems and treatments

Cohen

Menefee

Doghramji

et al. 2000

International Review of Psychiatry

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Chronic pain of any etiology often represents a difficult problem for the clinician and patient. Pain will usually be impossible to eliminate, and adequate pain reduction usually requires multiple therapeutic trials and careful polypharmacy. Identifying and treating comorbid sleep disturbances can improve the treatment of patients with chronic pain. Both pain medicine and sleep medicine are areas in which physician training has been inadequate. The literature on sleep disturbances in selected pain conditions, pathophysiology of sleep disturbance in the pain context, a case study, and basic clinical strategies for managing sleep problems in this population will be summarized. The overall treatment approach is based on optimizing pain control, identifying and treating psychiatric comorbidity, carefully investigating sleep patterns, and use of sleep-specific pharmacotherapeutic and psychotherapeutic interventions for improving sleep.

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Studies in Nocturnal Migraine

Cited by 80 publications

References 7 publications

Hearing voices: does it give your patient a headache? A case of auditory hallucinations as acoustic aura in migraine

Hearing voices: does it give your patient a headache? A case of auditory hallucinations as acoustic aura in migraine

Non–Rapid Eye Movement Sleep Parasomnias

Sleep in chronic pain: problems and treatments

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