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Sleep in other neurological disorders—headache 

Sleep in other neurological disorders—headache
Chapter:
Sleep in other neurological disorders—headache
Author(s):

Pradeep Sahota

, and Niranjan N. Singh

DOI:
10.1093/med/9780199682003.003.0031
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date: 19 February 2020

Headache and sleep disorder are among the most commonly reported problems in clinical practice and often coexist in the same patient. The two are related in several ways, though the relationship is very complex and is still not very well understood. The brainstem and hypothalamic nuclei are hypothesized to regulate both sleep and headache. Differential diagnosis of headache during sleep includes cluster headache, hypnic headache, migraine, sleep apnea headache, exploding head syndrome, tension-type headache, and paroxysmal hemicrania. Management of these headaches depends upon the diagnosis as a primary headache like migraine and cluster headaches versus secondary headaches during sleep seen in the patient with brain tumors, stroke, or meningitis. Management of primary headaches can be divided into nonpharmacological approaches, which predominantly include lifestyle modification, diet and exercise, avoidance of triggers, and sleep hygiene, and pharmacological approaches, including preventive and abortive treatments.

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