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Sleep Disorders Comorbidity

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Comorbidities in Headache Disorders

Part of the book series: Headache ((HEAD))

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Abstract

The common structural and neurotransmitter pathways between headache and sleep accounted for the strict comorbidities between these two conditions, since it is mediated by the structural co-alteration of serotonergic and dopaminergic pathways that affect migraine and sleep.Both an excess or a lack of sleep could be trigger for a migraine or headache attack, but also sleep could be a relieving factor for headache. Therefore, the link between sleep and headache or migraine is complex and could not be simply explained by the common neurotransmitters alterations. Different comorbid sleep disorders, like insomnia, parasomnias (sleepwalking, sleep terrors, enuresis), restless legs syndrome, periodic limb movements, and narcolepsy, could have distinctive pathogenetic causes. Alteration of sleep architecture, sleep fragmentation or hypoxia linked to sleep apnea are common recognized factors affecting headache or migraine. Often the treatment of a sleep disorder could resolve or improve headache and on the other hand the drugs used for migraine/headache prophylaxis could improve sleep.

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Authors and Affiliations

  1. Department of Developmental and Social Psychology, Sapienza University, Via dei Marsi 78, Rome, 00185, Italy

    Oliviero Bruni MD

  2. IRCCS Stella Maris, Scientific Institute of Child Neurology and Psychiatry, Calambrone, PI, Italy

    Claudia Dosi MD

  3. CENC, Sleep Medicine Center, Lisbon, Portugal

    Teresa Paiva MD

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  1. Oliviero Bruni MD
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  2. Claudia Dosi MD
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  3. Teresa Paiva MD
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Correspondence to Oliviero Bruni MD .

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  1. University "Gabriele D'Annunzio", Chieti, Italy

    Maria Adele Giamberardino

  2. Clinical and Molecular Medicine Dept, University of Rome La Sapienza, Rome, Italy

    Paolo Martelletti

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Bruni, O., Dosi, C., Paiva, T. (2017). Sleep Disorders Comorbidity. In: Giamberardino, M., Martelletti, P. (eds) Comorbidities in Headache Disorders. Headache. Springer, Cham. https://doi.org/10.1007/978-3-319-41454-6_6

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