The Prevalence and Spectrum of Sleep Problems in Women With Transformed Migraine

Calhoun, Anne H.; Ford, Sutapa; Finkel, Alan G.; Kahn, Kevin A.; Mann, J. Douglas

doi:10.1111/j.1526-4610.2006.00410.x

Cited by 45 publications

(39 citation statements)

References 14 publications

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“…Findings were generally consistent with other recent reports in which over 60% of migraine patients reported insomnia [18,21], with insomnia more common in chronic versus episodic headache [18]. Migraineurs also exhibit greater daytime sleepiness or fatigue than controls, with symptoms greater among chronic than episodic headache sufferers [18, 21,22]. In addition to acting as a potential precipitant to headache, sleep has been demonstrated to be a palliative treatment for migraine, with attacks relieved by overnight sleep or a daytime nap [17•,19].…”

Section: Migrainesupporting

confidence: 93%

“…Although insomnia was not systematically assessed, chronically shortened sleep patterns similar to those characteristic of insomnia were observed in 38% of migraineurs (< 6 hours sleep per night). Findings were generally consistent with other recent reports in which over 60% of migraine patients reported insomnia [18,21], with insomnia more common in chronic versus episodic headache [18]. Migraineurs also exhibit greater daytime sleepiness or fatigue than controls, with symptoms greater among chronic than episodic headache sufferers [18, 21,22].…”

Section: Migrainesupporting

confidence: 90%

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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: Migrainesupporting

confidence: 93%

Section: Migrainesupporting

confidence: 90%

Sleep and headaches

Rains

Poceta²,

Penzien³

2008

Curr Neurol Neurosci Rep

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show abstract

“…Psychopathological factors, such as personality traits or stressful life events, systemic conditions such as hypertension, and sleep disturbances have been identified both as causes of transformation and consequences of chronicization. Patients frequently report a poor sleep quality and drowsiness during the morning [95,96]. Review Lovati, D'Amico, Raimondi, Mariani & Bertora An intriguing hypothesis regarding a possible common mechanism underlying migraine transformation and sleep changes is related to the hypersensitivity to nitric oxide.…”

Section: Chronic Daily Headaches and Sleep Disordersmentioning

confidence: 99%

Sleep and headache: a bidirectional relationship

Lovati¹,

D’Amico²,

Raimondi³

et al. 2010

Expert Review of Neurotherapeutics

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Sleep and pain perception are two phylogenetically well-conserved functions, strictly influenced by environmental and psychological factors, and are able to interact reciprocally both in physiological and pathological situations. Sleep and head-pain perception share the involvement of several structures, such as the thalamus, the hypothalamus and brainstem nuclei, including the locus coeruleus and raphe nuclei. There ais clinical evidence indicating that sleep disorders can precede the appearance of certain headaches and that head pain, especially when frequent, can, in turn, affect sleep quality. In the present work the anatomy, physiology and pathology of sleep and head-pain perception will be reviewed with the aim of highlighting the points of contact and possible unifying treatment strategies.

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“…Insomnia is the most common sleep complaint among clinical headache populations, present in half to two thirds of migraineurs in neurology or specialty headache practices [10,19]. Epidemiology has documented a relationship between sleep disturbance and headache.…”

Section: Insomniamentioning

confidence: 99%

Sleep and Headache

Rains

Poceta

2010

Curr Treat Options Neurol

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Headache has been linked to a wide range of sleep disorders that may impact headache management. There are no evidence-based guidelines, but the authors believe that literature supports the following clinical recommendations: 1. Diagnose headache according to standardized criteria. Specific diagnoses are associated with increased risk for specific sleep and psychiatric disorders. 2. Collect sleep history in relation to headache patterns. Screening questionnaires and prediction equations are cost-effective. 3. Rule out sleep apnea headache in patients with awakening headache or higher-risk headache diagnoses (cluster, hypnic, chronic migraine, and chronic tension-type headache); patients with signs and symptoms of obstructive sleep apnea warrant polysomnography and treatment according to sleep medicine practice guidelines. There is no evidence for suspending conventional headache treatment in suspected or confirmed cases of sleep apnea. Treatment of sleep apnea with CPAP may improve or resolve headache in a subset of patients. The impact on sleep apnea headache of other treatments for sleep apnea (eg, oral appliances, surgery, weight loss) is largely untested. At a minimum, sedative-hypnotic drugs should be avoided in suspected apneics until the sleep apnea is treated. 4. Among patients with migraine and tension-type headache, insomnia is the most common sleep complaint, reported by one half to two thirds of clinic patients. Patients who suffer from chronic migraine or tension-type headache may benefit from behavioral sleep modification. Pharmacologic treatment may be considered on a case-by-case basis, with hypnotics, anxiolytics, or sedating antidepressants used to manage insomnia, tailoring treatment to the symptom pattern. 5. Individuals with chronic headache are at increased risk for psychiatric disorders. Assessment for depression and anxiety may be warranted when either insomnia or hypersomnia is present. Psychiatric symptoms affect the choice of sedating versus alerting versus neutral pharmacologic agents for headache. 6. All headache patients, particularly those with episodic migraine and tension-type headaches, may benefit from inclusion of sleep variables in trigger management.

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The Prevalence and Spectrum of Sleep Problems in Women With Transformed Migraine

Cited by 45 publications

References 14 publications

Sleep and headaches

Sleep and headaches

Sleep and headache: a bidirectional relationship

Sleep and Headache

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