A Sleep Study in Cluster Headache
| Autor: | G. Di Trapani, Paolo Mariotti, Marco Rubino, G. Della Marca, Alessandro Capuano, Catello Vollono |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Male
Sleep Wake Disorders medicine.medical_specialty Hypothalamus Posterior Polysomnography Cluster Headache Sleep spindle Non-rapid eye movement sleep 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans 030212 general & internal medicine Sleep study Neuroscience of sleep Slow-wave sleep medicine.diagnostic_test business.industry General Medicine Middle Aged Sleep in non-human animals Anesthesia Cardiology Neurology (clinical) Sleep K-complex business 030217 neurology & neurosurgery |
| Zdroj: | Cephalalgia. 26:290-294 |
| ISSN: | 1468-2982 0333-1024 |
| DOI: | 10.1111/j.1468-2982.2005.01037.x |
| Popis: | Cluster headache (CH) is a primary headache with a close relation to sleep. CH presents a circa-annual rhythmicity; attacks occur preferably during the night, in rapid eye movement (REM) sleep, and they are associated with autonomic and neuroendocrine modifications. The posterior hypothalamus is the key structure for the biological phenomenon of CH. Our aim is to describe a 55-year-old man presenting a typical episodic CH, in whom we performed a prolonged sleep study, consisting of a 9-week actigraphic recording and repeated polysomnography, with evaluation of both sleep macrostructure and microstructure. During the acute bout of the cluster we observed an irregular sleep-wake pattern and abnormalities of REM sleep. After the cluster phase these alterations remitted. We conclude that CH was associated, in this patient, with sleep dysregulation involving the biological clock and the arousal mechanisms, particularly in REM. All these abnormalities are consistent with posterior hypothalamic dysfunction. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|