Publicação
Broadening the Spectrum of Hypnic Headache: A Retrospective Cohort Study
| Resumo: | Introduction: Hypnic headache is a rare headache disorder that requires strictly sleep-related attacks. There is also an ill-defined group of patients with recurrent predominant sleep-related nocturnal headache with occasional awake attacks, that are excluded from that diagnosis. Our aim was to compare these different groups and to understand whether their differences justify a distinct diagnosis. Methods: This is a retrospective cohort comparative study of patients with predominantly nocturnal (≥80% attacks) recurrent headache (PNRH) and hypnic headache (HH) attending to a tertiary Headache Clinic. Results: Thirty-one patients (83.9% female) were included, of whom 13 had PNRH, and 18 had HH (13 had probable and 5 definitive). There were no significant differences between groups regarding demographics, pain characteristics, and response to treatment. Both had a high (71%) frequency of previous migraine attacks and 51.7% fulfilled criteria for medication-overuse headache. Conclusion: Our data suggests that there is an overlap between predominantly nocturnal headache and exclusively nocturnal hypnic headache. Moreover, both may evolve from migraine. Although the pathophysiology of these disorders remains unknown, recurrent nocturnal headache may be another probable form of hypnic headache. |
|---|---|
| Autores principais: | Dourado Sotero, Filipa |
| Outros Autores: | Leal Rato, Miguel; Pavão Martins, Isabel |
| Assunto: | Distúrbios da Cefaleia Primários/tratamento farmacológico Sono Headache Disorders, Primary/ drug therapy Sleep |
| Ano: | 2024 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | unknown |
| Instituição associada: | Sociedade Portuguesa de Neurologia |
| Idioma: | inglês |
| Origem: | SINAPSE |
| _version_ | 1869051090198069248 |
|---|---|
| author | Dourado Sotero, Filipa |
| author2 | Leal Rato, Miguel Pavão Martins, Isabel |
| author2_role | author author |
| author_facet | Dourado Sotero, Filipa Leal Rato, Miguel Pavão Martins, Isabel |
| author_role | author |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Dourado Sotero, Filipa\"},{\"Person.name\":\"Leal Rato, Miguel\"},{\"Person.name\":\"Pavão Martins, Isabel\"}] |
| datacite.creators.creator.creatorName.fl_str_mv | Dourado Sotero, Filipa Leal Rato, Miguel Pavão Martins, Isabel |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Distúrbios da Cefaleia Primários/tratamento farmacológico Sono Headache Disorders, Primary/ drug therapy Sleep |
| datacite.titles.title.fl_str_mv | Broadening the Spectrum of Hypnic Headache: A Retrospective Cohort Study Ampliando o Espectro da Cefaleia Hípnica: Um Estudo de Coorte Retrospetivo |
| dc.creator.none.fl_str_mv | Dourado Sotero, Filipa Leal Rato, Miguel Pavão Martins, Isabel |
| dc.description.none.fl_str_mv | Introdução: A cefaleia hípnica é uma entidade rara que requer crises estritamente relacionados ao sono. Contudo, existem doentes com cefaleias noturnas recorrentes que apresentam ocasionais crises em vigília e que são excluídos desse diagnóstico. O nosso objetivo foi comparar esses dois grupos de doentes e compreender se as suas diferenças justificam um diagnóstico distinto. Métodos: Trata-se de um estudo de coorte retrospetivo, comparativo, entre doentes com cefaleia recorrente predominantemente noturna (≥80% das crises) (PNRH) e cefaleia hípnica (HH) seguidos numa clínica terciária de cefaleias. Resultados: Foram incluídos 31 doentes (83,9% mulheres), dos quais 13 com PNRH e 18 HH (13 casos com HH provável e 5 HH definitiva). Não houve diferenças significativas entre os grupos quer na demografia quer nas características da dor e resposta ao tratamento. Ambos tinham uma frequência elevada (71%) de crises prévias de enxaqueca e 51,7% preenchiam os critérios para uso excessivo de medicamentos. Conclusão: Estes resultados sugerem que existe uma sobreposição entre a cefaleia hípnica e a cefaleia recorrente predominantemente noturna. Ambas podem evoluir a partir de enxaqueca. Embora a sua fisiopatologia permaneça desconhecida, a cefaleia noturna recorrente pode ser outra forma provável de cefaleia hípnica. |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | https://doi.org/10.46531/sinapse/AO/240004/2024 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Portuguese Society of Neurology |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.rights.rights.copyright.fl_str_mv | https://creativecommons.org/licenses/by-nc/4.0 |
| dc.source.none.fl_str_mv | Sinapse; Vol. 24 No. 3 (2024): July - September; 122-127 Sinapse; Vol. 24 N.º 3 (2024): Julho - Setembro; 122-127 2184-4240 1645-281X |
| dc.subject.none.fl_str_mv | Distúrbios da Cefaleia Primários/tratamento farmacológico Sono Headache Disorders, Primary/ drug therapy Sleep |
| dc.title.fl_str_mv | Broadening the Spectrum of Hypnic Headache: A Retrospective Cohort Study Ampliando o Espectro da Cefaleia Hípnica: Um Estudo de Coorte Retrospetivo |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | Introduction: Hypnic headache is a rare headache disorder that requires strictly sleep-related attacks. There is also an ill-defined group of patients with recurrent predominant sleep-related nocturnal headache with occasional awake attacks, that are excluded from that diagnosis. Our aim was to compare these different groups and to understand whether their differences justify a distinct diagnosis. Methods: This is a retrospective cohort comparative study of patients with predominantly nocturnal (≥80% attacks) recurrent headache (PNRH) and hypnic headache (HH) attending to a tertiary Headache Clinic. Results: Thirty-one patients (83.9% female) were included, of whom 13 had PNRH, and 18 had HH (13 had probable and 5 definitive). There were no significant differences between groups regarding demographics, pain characteristics, and response to treatment. Both had a high (71%) frequency of previous migraine attacks and 51.7% fulfilled criteria for medication-overuse headache. Conclusion: Our data suggests that there is an overlap between predominantly nocturnal headache and exclusively nocturnal hypnic headache. Moreover, both may evolve from migraine. Although the pathophysiology of these disorders remains unknown, recurrent nocturnal headache may be another probable form of hypnic headache. |
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| eu_rights_str_mv | unknown |
| format | article |
| id | sinapse_42e6b00c00d01b75d0097aa3bb77cd87 |
| identifier.doi.fl_str_mv | https://doi.org/10.46531/sinapse/AO/240004/2024 |
| inst_facet_str | urn:organizationAcronym:spn{{{_:::_}}}Sociedade Portuguesa de Neurologia |
| instacron_str | SPN |
| institution | Sociedade Portuguesa de Neurologia |
| instname_str | Sociedade Portuguesa de Neurologia |
| language | eng |
| network_acronym_str | sinapse |
| network_name_str | SINAPSE |
| oai_identifier_str | oai:sinapse.pt:article/122 |
| organization_str_mv | urn:organizationAcronym:spn |
| person_str_mv | Dourado Sotero, Filipa Leal Rato, Miguel Pavão Martins, Isabel |
| publishDate | 2024 |
| publisher.none.fl_str_mv | Portuguese Society of Neurology |
| repo_facet_str | urn:repositoryAcronym:sinapse{{{_:::_}}}SINAPSE |
| reponame_str | SINAPSE |
| repository_id_str | urn:repositoryAcronym:sinapse |
| service_str_mv | urn:repositoryAcronym:sinapse |
| spelling | en-USBroadening the Spectrum of Hypnic Headache: A Retrospective Cohort Studypt-PTAmpliando o Espectro da Cefaleia Hípnica: Um Estudo de Coorte RetrospetivoDourado Sotero, FilipaLeal Rato, MiguelPavão Martins, IsabelDistúrbios da Cefaleia Primários/tratamento farmacológicoSonoHeadache Disorders, Primary/ drug therapySleepDireitos de Autor (c) 2024 Filipa Dourado Sotero, Miguel Leal Rato, Isabel Pavão Martins (Autor)http://purl.org/coar/access_right/c_abf2https://doi.org/10.46531/sinapse/AO/240004/2024DOIhttps://sinapse.pt/index.php/journal/article/view/122URLHasVersionhttps://sinapse.pt/index.php/journal/article/view/122/89URLHasVersionhttps://doi.org/10.46531/sinapse/AO/240004/2024DOI2024-11-07en-USIntroduction: Hypnic headache is a rare headache disorder that requires strictly sleep-related attacks. There is also an ill-defined group of patients with recurrent predominant sleep-related nocturnal headache with occasional awake attacks, that are excluded from that diagnosis. Our aim was to compare these different groups and to understand whether their differences justify a distinct diagnosis. Methods: This is a retrospective cohort comparative study of patients with predominantly nocturnal (≥80% attacks) recurrent headache (PNRH) and hypnic headache (HH) attending to a tertiary Headache Clinic. Results: Thirty-one patients (83.9% female) were included, of whom 13 had PNRH, and 18 had HH (13 had probable and 5 definitive). There were no significant differences between groups regarding demographics, pain characteristics, and response to treatment. Both had a high (71%) frequency of previous migraine attacks and 51.7% fulfilled criteria for medication-overuse headache. Conclusion: Our data suggests that there is an overlap between predominantly nocturnal headache and exclusively nocturnal hypnic headache. Moreover, both may evolve from migraine. Although the pathophysiology of these disorders remains unknown, recurrent nocturnal headache may be another probable form of hypnic headache.pt-PTIntrodução: A cefaleia hípnica é uma entidade rara que requer crises estritamente relacionados ao sono. Contudo, existem doentes com cefaleias noturnas recorrentes que apresentam ocasionais crises em vigília e que são excluídos desse diagnóstico. O nosso objetivo foi comparar esses dois grupos de doentes e compreender se as suas diferenças justificam um diagnóstico distinto. Métodos: Trata-se de um estudo de coorte retrospetivo, comparativo, entre doentes com cefaleia recorrente predominantemente noturna (≥80% das crises) (PNRH) e cefaleia hípnica (HH) seguidos numa clínica terciária de cefaleias. Resultados: Foram incluídos 31 doentes (83,9% mulheres), dos quais 13 com PNRH e 18 HH (13 casos com HH provável e 5 HH definitiva). Não houve diferenças significativas entre os grupos quer na demografia quer nas características da dor e resposta ao tratamento. Ambos tinham uma frequência elevada (71%) de crises prévias de enxaqueca e 51,7% preenchiam os critérios para uso excessivo de medicamentos. Conclusão: Estes resultados sugerem que existe uma sobreposição entre a cefaleia hípnica e a cefaleia recorrente predominantemente noturna. Ambas podem evoluir a partir de enxaqueca. Embora a sua fisiopatologia permaneça desconhecida, a cefaleia noturna recorrente pode ser outra forma provável de cefaleia hípnica.Portuguese Society of Neurologyapplication/pdfen-USSinapse; Vol. 24 No. 3 (2024): July - September; 122-127pt-PTSinapse; Vol. 24 N.º 3 (2024): Julho - Setembro; 122-1272184-42401645-281Xengjournal articlehttp://purl.org/coar/resource_type/c_6501literatureVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85https://creativecommons.org/licenses/by-nc/4.0 |
| spellingShingle | Broadening the Spectrum of Hypnic Headache: A Retrospective Cohort Study Dourado Sotero, Filipa Distúrbios da Cefaleia Primários/tratamento farmacológico Sono Headache Disorders, Primary/ drug therapy Sleep |
| status | SINGLETON |
| status_str | VoR |
| subject.fl_str_mv | Distúrbios da Cefaleia Primários/tratamento farmacológico Sono Headache Disorders, Primary/ drug therapy Sleep |
| title | Broadening the Spectrum of Hypnic Headache: A Retrospective Cohort Study |
| title_full | Broadening the Spectrum of Hypnic Headache: A Retrospective Cohort Study |
| title_fullStr | Broadening the Spectrum of Hypnic Headache: A Retrospective Cohort Study |
| title_full_unstemmed | Broadening the Spectrum of Hypnic Headache: A Retrospective Cohort Study |
| title_short | Broadening the Spectrum of Hypnic Headache: A Retrospective Cohort Study |
| title_sort | Broadening the Spectrum of Hypnic Headache: A Retrospective Cohort Study |
| topic | Distúrbios da Cefaleia Primários/tratamento farmacológico Sono Headache Disorders, Primary/ drug therapy Sleep |
| topic_facet | Distúrbios da Cefaleia Primários/tratamento farmacológico Sono Headache Disorders, Primary/ drug therapy Sleep |
| url | https://doi.org/10.46531/sinapse/AO/240004/2024 |
| visible | 1 |