Clinical features, polysomnography and outcome in patients with hypnic headache
J-F Liang
Department of Neurology, National Yang-Ming University School of Medicine,
Department of Neurology, Buddhist Tzu Chi General Hospital, Taipei Branch and
Neurological Institute, Taipei Veterans General Hospital, Taipei, and
Search for more papers by this authorJ-L Fuh
Department of Neurology, National Yang-Ming University School of Medicine,
Neurological Institute, Taipei Veterans General Hospital, Taipei, and
Search for more papers by this authorH-Y Yu
Department of Neurology, National Yang-Ming University School of Medicine,
Neurological Institute, Taipei Veterans General Hospital, Taipei, and
Search for more papers by this authorC-Y Hsu
Department of Neurology, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, Taiwan
Search for more papers by this authorCorresponding Author
S-J Wang
Department of Neurology, National Yang-Ming University School of Medicine,
Neurological Institute, Taipei Veterans General Hospital, Taipei, and
Dr Shuu-Jiun Wang, Neurological Institute, Taipei Veterans General Hospital, Taipei 112, Taiwan. Tel. + 886 2 2876 2522, fax + 886 2 2876 5215, e-mail [email protected]Search for more papers by this authorJ-F Liang
Department of Neurology, National Yang-Ming University School of Medicine,
Department of Neurology, Buddhist Tzu Chi General Hospital, Taipei Branch and
Neurological Institute, Taipei Veterans General Hospital, Taipei, and
Search for more papers by this authorJ-L Fuh
Department of Neurology, National Yang-Ming University School of Medicine,
Neurological Institute, Taipei Veterans General Hospital, Taipei, and
Search for more papers by this authorH-Y Yu
Department of Neurology, National Yang-Ming University School of Medicine,
Neurological Institute, Taipei Veterans General Hospital, Taipei, and
Search for more papers by this authorC-Y Hsu
Department of Neurology, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, Taiwan
Search for more papers by this authorCorresponding Author
S-J Wang
Department of Neurology, National Yang-Ming University School of Medicine,
Neurological Institute, Taipei Veterans General Hospital, Taipei, and
Dr Shuu-Jiun Wang, Neurological Institute, Taipei Veterans General Hospital, Taipei 112, Taiwan. Tel. + 886 2 2876 2522, fax + 886 2 2876 5215, e-mail [email protected]Search for more papers by this authorAbstract
Hypnic headache is rarely reported in Asians, and the proposed International Classification of Headache Disorders (ICHD)-2 criteria have never been field-tested. We studied 17 consecutive Taiwanese patients (M/F: 9/8, mean age at onset 69.6 years) with hypnic headache from a headache clinic. Fifteen patients (88%) reported >15 headache attack days per month. Polysomnography studies done on 11 patients recorded 12 attacks in seven patients: two during rapid eye movement (REM) sleep, three during non-REM sleep and two having both. Five of the seven patients reported their headache profile during polysomnography studies. The clinical course was mostly episodic without recurrence (n = 9, 53%), followed by relapsing/remitting (n = 5) and chronic (n = 3). The ICHD-2 criteria were not fulfilled in 35% (6/17) patients based on patient recall or 60% (3/5) patients based on direct questioning during polysomnography studies. The major reason was the presence of pulsatile rather than dull headache in our patients. Unlike previous studies, our study showed hypnic headache occurred equally in both REM and non-REM sleep, and most patients ran an episodic course.
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