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Cluster Headache Help and Support >> Cluster Headache Specific >> Sleep Study
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Message started by ctygrl1965 on Feb 8th, 2011 at 10:38pm

Title: Sleep Study
Post by ctygrl1965 on Feb 8th, 2011 at 10:38pm
My husband snores horribly when he's in his cycle. The Dr. has suggested a sleep study. Has anyone done this? If so, what were your results. If you were placed on C-pap, did it help with the nighttime headaches?

Title: Re: Sleep Study
Post by Brew on Feb 8th, 2011 at 10:47pm
Been on CPAP for 10 years now. Severe obstructive sleep apnea. My body was waking itself an average of 33 time per hour to reinitiate breathing.

We were hopeful it would help the CH situation, but it hasn't. Other things have. Now that the CH is under control, CPAP therapy can have its full effect, and I sleep silently and like a baby. When I was having CH cycles, it helped me immeasurably by providing true rest, thus rebuilding my stores to fight the beast during the day.

Title: Re: Sleep Study
Post by Bob Johnson on Feb 9th, 2011 at 7:19am
There is no clear medical literature on this question in relation to CH.  There is evidence that apnea is assoiciated with heart disorders/death, making investigation and treatment a worthy goal even if not strongly linked to CH.
=======

Curr Treat Options Neurol. 2010 Jan;12(1):1-15.

Sleep and headache.
Rains JC, Poceta JS.

Center for Sleep Evaluation, Elliot Hospital, One Elliot Way, Manchester, NH, 03103, USA, jrains@elliot-hs.org.

Abstract
OPINION STATEMENT: Headache has been linked to a wide range of sleep disorders that may impact headache management. THERE ARE NO EVIDENCE-BASED GUIDELINES, BUT THE AUTHORS BELIEVE THAT LITERATURE SUPPORTS THE FOLLOWING CLINICAL RECOMMENDATIONS:

1. Diagnose headache according to standardized criteria. Specific diagnoses are associated with increased risk for specific sleep and psychiatric disorders. 2. Collect sleep history in relation to headache patterns. Screening questionnaires and prediction equations are cost-effective. 3. Rule out sleep apnea headache in patients with awakening headache or higher-risk headache diagnoses (cluster, hypnic, chronic migraine, and chronic tension-type headache); patients with signs and symptoms of obstructive sleep apnea warrant polysomnography and treatment according to sleep medicine practice guidelines. There is no evidence for suspending conventional headache treatment in suspected or confirmed cases of sleep apnea. Treatment of sleep apnea with CPAP may improve or resolve headache in a subset of patients. The impact on sleep apnea headache of other treatments for sleep apnea (eg, oral appliances, surgery, weight loss) is largely untested. At a minimum, sedative-hypnotic drugs should be avoided in suspected apneics until the sleep apnea is treated. 4. Among patients with migraine and tension-type headache, insomnia is the most common sleep complaint, reported by one half to two thirds of clinic patients. Patients who suffer from chronic migraine or tension-type headache may benefit from behavioral sleep modification. Pharmacologic treatment may be considered on a case-by-case basis, with hypnotics, anxiolytics, or sedating antidepressants used to manage insomnia, tailoring treatment to the symptom pattern. 5. Individuals with chronic headache are at increased risk for psychiatric disorders. Assessment for depression and anxiety may be warranted when either insomnia or hypersomnia is present. Psychiatric symptoms affect the choice of sedating versus alerting versus neutral pharmacologic agents for headache. 6. All headache patients, particularly those with episodic migraine and tension-type headaches, may benefit from inclusion of sleep variables in trigger management.

PMID: 20842485 [PubMed]

Title: Re: Sleep Study
Post by DennisM1045 on Feb 9th, 2011 at 12:50pm
Count me in too.  I've been on CPAP for over a year now.  I'm sleeping much better and no longer wake up with a headache.  However it did nothing for my clusters.

Have the study done.  If you do have SA, CPAP therapy will make things in general much better.

-Dennis-

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