Improvement of Nocturnal Cluster Headache after Continuous Positive Airway Pressure Therapy in a Patient with Severe Obstructive Sleep Apnea
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
The relationship between cluster headache (CH) and sleep has been demonstrated. A 60-year-old man who suffered from refractory CH that occurred exclusively at night, complained of sleep fragmentation. Polysomnography revealed severe obstructive apnea with deep desaturation and sleep fragmentation every 2 hours due to cyclic pain. Three months of successful continuous positive airway therapy dramatically improved both headache intensity and frequency, as well as sleep apnea. This case suggests the significance of comorbid OSA when managing patients with CH or primary headaches with nocturnal tendencies.
Abstract
The relationship between cluster headache (CH) and sleep has been demonstrated. A 60-year-old man who suffered from refractory CH that occurred exclusively at night, complained of sleep fragmentation. Polysomnography revealed severe obstructive apnea with deep desaturation and sleep fragmentation every 2 hours due to cyclic pain. Three months of successful continuous positive airway therapy dramatically improved both headache intensity and frequency, as well as sleep apnea. This case suggests the significance of comorbid OSA when managing patients with CH or primary headaches with nocturnal tendencies.
참고문헌 (10)
- Jes Olesen, "International Classification of Headache Disorders", The Lancet Neurology, 17(5), pp.396~397 (2018), Elsevier BV[DOI]
- Dimos D Mitsikostas, "Refractory chronic cluster headache: a consensus statement on clinical definition from the European Headache Federation", The Journal of Headache and Pain, 15(1), pp.79~ (2014), Springer Science and Business Media LLC[DOI]
- Andrea Alberti, "Headache and sleep", Sleep Medicine Reviews, 10(6), pp.431~437 (2006), Elsevier BV[DOI]
- M Barloese, "Cluster headache and sleep, is there a connection? A review", Cephalalgia, 32(6), pp.481~491 (2012), SAGE Publications[DOI]
- V. Pfaffenrath, "Onset of nocturnal attacks of chronic cluster headache in relation to sleep stages", Acta Neurologica Scandinavica, 73(4), pp.403~407 (1986), Wiley[DOI]
- Rashmi Halker, "Cluster Headache: Diagnosis and Treatment", Seminars in Neurology, 30(02), pp.175~185 (2010), Georg Thieme Verlag KG[DOI]
- Steven B. Graff‐Radford, "Obstructive Sleep Apnea and Cluster Headache", Headache: The Journal of Head and Face Pain, 44(6), pp.607~610 (2004), Wiley[DOI]
- ME Nobre, "Investigation Into Sleep Disturbance of Patients Suffering from Cluster Headache", Cephalalgia, 25(7), pp.488~492 (2005), SAGE Publications[DOI]
- Patricia Buckle, "Nocturnal Cluster Headache Associated with Sleep Apnea. A Case Report", Sleep, 16(5), pp.487~489 (1993), Oxford University Press (OUP)[DOI]
- S Nath Zallek, "Improvement in cluster headache after treatment for obstructive sleep apnea", Sleep Medicine, 1(2), pp.135~138 (2000), Elsevier BV[DOI]