Current Neurology and Neuroscience Reports

, Volume 8, Issue 2, pp 167–175

Sleep and headaches

  • Jeanetta C. Rains
  • J. Steven Poceta
  • Donald B. Penzien
Article

Abstract

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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References and Recommended Reading

  1. 1.
    Rains JC, Poceta JS: Headache and sleep disorders: review and clinical implications for headache management. Headache 2006, 46:1344–1361.PubMedCrossRefGoogle Scholar
  2. 2.
    The International Classification of Headache Disorders, second edition. Cephalalgia 2004, 24(Suppl 1):1–151.Google Scholar
  3. 3.
    Ulfberg J, Carter N, Talback M, Edling C: Headache, snoring and sleep apnoea. J Neurol 1996, 243:621–625.PubMedCrossRefGoogle Scholar
  4. 4.
    Isik U, Ersu RH, Ay P, et al.: Prevalence of headache and its association with sleep disorders in children. Pediatr Neurol 2007, 36:146–151.PubMedCrossRefGoogle Scholar
  5. 5.
    Scher AI, Lipton RB, Stewart WF: Habitual snoring as a risk factor for chronic daily headache. Neurology 2003, 60:1366–1368.PubMedGoogle Scholar
  6. 6.
    Boardman HF, Thomas E, Millson DS, Croft PR: Psychological, sleep, lifestyle, and comorbid associations with headache. Headache 2005, 45:657–669.PubMedCrossRefGoogle Scholar
  7. 7.
    Ohayon MM: Prevalence and risk factors of morning headaches in the general population. Arch Intern Med 2004, 164:97–102.PubMedCrossRefGoogle Scholar
  8. 8.
    Rasmussen BK: Migraine and tension-type headache in the general population: precipitating factors, female hormones, sleep pattern and relation to lifestyle. Pain 1993, 53:65–72.PubMedCrossRefGoogle Scholar
  9. 9.
    Lyngberg AC, Rasmussen BK, Jorgensen T, Jensen R: Prognosis of migraine and tension-type headache: a population-based follow-up study. Neurology 2005, 65:580–585.PubMedCrossRefGoogle Scholar
  10. 10.
    Lyngberg AC, Rasmussen BK, Jorgensen T, Jensen R: Incidence of primary headache: a Danish epidemiologic follow up study. Am J Epidemiol 2005, 161:1066–1073.PubMedCrossRefGoogle Scholar
  11. 11.
    Fox AW, Davis RL: Migraine chronobiology. Headache 1998, 38:436–441.PubMedCrossRefGoogle Scholar
  12. 12.
    Dexter JD, Weitzman ED: The relationship of nocturnal headaches to sleep stage patterns. Neurology 1970, 20:513–518.PubMedGoogle Scholar
  13. 13.
    Hsu LK, Crisp AH, Kalucy RS, et al.: Early morning migraine. Nocturnal plasma levels of catecholamines, tryptophan, glucose, and free fatty acids and sleep encephalographs. Lancet 1977, 1:447–451.PubMedCrossRefGoogle Scholar
  14. 14.
    Dexter JD: The relationship between stage III + IV + REM sleep and arousals with migraine. Headache 1979, 19:364–369.PubMedCrossRefGoogle Scholar
  15. 15.
    Drake ME Jr, Pakalnis A, Andrews JM, Bogner JE: Nocturnal sleep recording with cassette EEG in chronic headaches. Headache 1990, 30:600–603.PubMedCrossRefGoogle Scholar
  16. 16.
    Göder R, Fritzer G, Kapsokalyvas A, et al.: Polysomnographic findings in nights preceding a migraine attack. Cephalalgia. 2001, 21:31–37.PubMedCrossRefGoogle Scholar
  17. 17.
    Kelman L, Rains JC: Headache and sleep: examination of sleep patterns and complaints in a large clinical sample of migraineurs. Headache 2005, 45:904–910.PubMedCrossRefGoogle Scholar
  18. 18.
    Maizels M, Burchette R: Somatic symptoms in headache patients: the influence of headache diagnosis, frequency, and comorbidity. Headache 2004, 44:983–993.PubMedCrossRefGoogle Scholar
  19. 19.
    Spierings EL, Ranke AH, Honkoop PC: Precipitating and aggravating factors of migraine versus tension-type headache. Headache 2001, 41:554–558.PubMedCrossRefGoogle Scholar
  20. 20.
    Houle TT, Rains JC, Penzien DB, et al.: Biobehavioral precipitants of headache: time-series analysis of stress and sleep on headache activity. Headache 2004, 44:533–534.Google Scholar
  21. 21.
    Calhoun AH, Ford S, Finkel AG, et al.: The prevalence and spectrum of sleep problems in women with transformed migraine. Headache 2006, 46:604–610.PubMedCrossRefGoogle Scholar
  22. 22.
    Barbanti P, Fabbrini G, Aurilia C, et al.: A case-control study on excessive daytime sleepiness in episodic migraine. Cephalalgia 2007, 27:1115–1119.PubMedCrossRefGoogle Scholar
  23. 23.
    Russell D: Cluster headache: severity and temporal profiles of attacks and patient activity prior to and during attacks. Cephalalgia 1981, 1:209–216.PubMedCrossRefGoogle Scholar
  24. 24.
    Nobre ME, Leal AJ, Filho PM: Investigation into sleep disturbance of patients suffering from cluster headache. Cephalalgia 2005, 25:488–492.PubMedCrossRefGoogle Scholar
  25. 25.
    Chervin RD, Zallek SN, Lin X, et al.: Sleep disordered breathing in patients with cluster headache. Neurology 2000, 54:2302–2306.PubMedGoogle Scholar
  26. 26.
    Graff-Radford SB, Newman A: Obstructive sleep apnea and cluster headache. Headache 2004, 44:607–610.PubMedCrossRefGoogle Scholar
  27. 27.
    Pfaffenrath V, Pollmann W, Ruther E, et al.: Onset of nocturnal attacks of chronic cluster headache in relation to sleep stages. Acta Neurol Scand 1986, 73:403–407.PubMedCrossRefGoogle Scholar
  28. 28.
    Kayed K, Godtlibsen OB, Sjaastad O: Chronic paroxysmal hemicrania IV: “REM sleep locked” nocturnal headache attacks. Sleep 1978, 1:91–95.PubMedGoogle Scholar
  29. 29.
    Evers S, Goadsby PJ: Hypnic headache: clinical features, pathophysiology, and treatment. Neurology 2003, 60:905–909.PubMedGoogle Scholar
  30. 30.
    Manni R, Sances G, Terzaghi M, et al.: Hypnic headache: PSG evidence of both REM-and NREM-related attacks. Neurology 2004, 62:1411–1413.PubMedGoogle Scholar
  31. 31.
    Alberti A, Mazzotta G, Gallinella E, Sarchielli P ” Headache characteristics in obstructive sleep apnea and insomnia. Acta Neurol Scand 2005, 111:309–316.PubMedCrossRefGoogle Scholar
  32. 32.
    Poceta JS, Dalessio DJ: Identification and treatment of sleep apnea in patients with chronic headache. Headache 1995, 35:586–589.PubMedCrossRefGoogle Scholar
  33. 33.
    Loh NK, Dinner DS, Foldvary N, et al.: Do patients with obstructive sleep apnea wake up with headaches? Arch Intern Med 1999, 159:1765–1768.PubMedCrossRefGoogle Scholar
  34. 34.
    Paiva T, Farinha A, Martins A, et al.: Chronic headaches and sleep disorders. Arch Intern Med 1997, 157:1701–1705.PubMedCrossRefGoogle Scholar
  35. 35.
    Kiely JL, Murphy M, McNicholas WT: Subjective efficacy of nasal CPAP therapy in obstructive sleep apnoea syndrome: a prospective controlled study. Eur Respir J 1999, 13:1086–1090.PubMedCrossRefGoogle Scholar
  36. 36.
    Goder R, Friege L, Fritzer G, et al.: Morning headaches in patients with sleep disorders: a systematic polysomnographic study. Sleep Med 2003, 4:385–391.PubMedCrossRefGoogle Scholar
  37. 37.
    Aldrich MS, Chauncey JB: Are morning headaches part of obstructive sleep apnea syndrome? Arch Intern Med 1990, 150:1265–1267.PubMedCrossRefGoogle Scholar
  38. 38.
    Provini F, Vetrugno R, Lugaresi E, Montagna P: Sleeprelated breathing disorders and headache. Neurol Sci 2006, 27:S149–S152.PubMedCrossRefGoogle Scholar
  39. 39.
    Dodick DW, Eross EJ, Parish JM: Clinical, anatomical, and physiologic relationship between sleep and headache. Headache 2003, 43:282–292.PubMedCrossRefGoogle Scholar
  40. 40.
    Welch KM: Contemporary concepts of migraine pathogenesis. Neurology 2003, 61(8 Suppl 4):S2–S8.PubMedGoogle Scholar
  41. 41.
    Bartsch T, Goadsby PJ: The trigeminocervical complex and migraine: current concepts and synthesis. Curr Pain Headache Rep 2003, 7:371–376.PubMedCrossRefGoogle Scholar
  42. 42.
    Goadsby PJ, May A: PET demonstration of hypothalamic activation in cluster headache. Neurology 1999, 52:1522.PubMedGoogle Scholar
  43. 43.
    Gagnier JJ: The therapeutic potential of melatonin in migraines and other headache types. Altern Med Rev 2001, 6:383–389.PubMedGoogle Scholar
  44. 44.
    Nagtegaal JE, Smits MG, Swart AC, et al.: Melatonin-responsive headache in delayed sleep phase syndrome: preliminary observations. Headache 1998, 38:303–307.PubMedCrossRefGoogle Scholar
  45. 45.
    Calhoun AH, Ford S. Behavioral sleep modification may revert transformed migraine to episodic migraine. Headache 2007, 47:1178–1183.PubMedCrossRefGoogle Scholar
  46. 46.
    Gold AR, Dipalo F, Gold MS, O’Hearn D: The symptoms and signs of upper airway resistance syndrome: a link to the functional somatic syndromes. Chest 2003, 123:87–95.PubMedCrossRefGoogle Scholar
  47. 47.
    Exar EN, Collop NA: The upper airway resistance syndrome. Chest 1999, 115:1127–1139.PubMedCrossRefGoogle Scholar
  48. 48.
    Guilleminault C, Kim D, Chowdhuri S, et al.: Sleep and daytime sleepiness in upper airway resistance syndrome compared to obstructive sleep apnoea syndrome. Eur Respir J 2001, 17:838–847.PubMedCrossRefGoogle Scholar
  49. 49.
    Bao G, Guilleminault C: Upper airway resistance syndromeone decade later. Curr Opin Pulm Med 2004, 10:461–467.PubMedCrossRefGoogle Scholar
  50. 50.
    Hoodin F, Brines BJ, Lake AE, et al.: Behavioral self-management in an inpatient headache treatment unit: increasing adherence and relationship to changes in affective distress. Headache 2000, 40:377–383.PubMedCrossRefGoogle Scholar

Copyright information

© Current Medicine Group LLC 2008

Authors and Affiliations

  • Jeanetta C. Rains
    • 1
  • J. Steven Poceta
  • Donald B. Penzien
  1. 1.Center for Sleep EvaluationElliot HospitalManchesterUSA

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