PMID- 30095163
DCOM- 20190729
LR  - 20190729
IS  - 1526-4610 (Electronic)
IS  - 0017-8748 (Linking)
VI  - 58
IP  - 7
DP  - 2018 Jul
TI  - Sleep and Migraine: Assessment and Treatment of Comorbid Sleep Disorders.
PG  - 1074-1091
LID - 10.1111/head.13357 [doi]
AB  - The relationship of sleep and migraine is unequivocal and familiarity with the
      nature and magnitude of these associations may inform clinical practice. Recent
      prospective, longitudinal, and time-series analysis has begun to unravel the
      magnitude and temporal patterns of sleep and migraine. Prospective evidence has
      shown that sleep variables can trigger acute migraine, precede and predict new
      onset headache by several years, and indeed, sleep disturbance and snoring are
      risk factors for chronification. The presence of a sleep disorder is associated
      with more frequent and severe migraine and portends a poorer headache prognosis. 
      Interestingly, the disorders linked to migraine are quite varied, including
      insomnia, snoring and obstructive sleep apnea, restless legs, circadian rhythm
      disorders, narcolepsy, and others. Insomnia is by far the most common sleep
      disorder in headache patients. In fact, the majority of patients with chronic
      migraine presenting for treatment have insomnia. Despite a rapidly expanding
      literature, very few controlled treatment studies have been published to guide
      clinical practice. This paper focuses on clinical assessment and treatment of
      sleep disorders. An algorithm is presented for sleep disorders management in the 
      migraine patient, which highlights major sleep disorders and psychiatric
      comorbidity. Diagnostic procedures are recommended that are conducive to clinical
      practice. Suggested tools include the sleep history, screening mnemonics,
      prediction equation, and sleep diary. New developments in treatment have produced
      abbreviated and cost-effective therapies for insomnia and obstructive sleep apnea
      that may reach a larger population. Revisions in the diagnostic manuals for sleep
      and headache disorders enhance recognition of sleep-related headache.
      Recommendations include behavioral sleep regulation, shown in recent controlled
      trials to decrease migraine frequency, management for sleep apnea headache,
      cognitive behavioral therapy (CBT) for insomnia abbreviated for the physician
      practice setting, sleep-related headache trigger, and others. There is no
      empirical evidence that sleep evaluation should delay or supersede usual headache
      care. Rather, sleep management is complimentary to standard headache practice.
CI  - (c) 2018 American Headache Society.
FAU - Rains, Jeanetta C
AU  - Rains JC
AD  - Center for Sleep Evaluation, Elliot Hospital, Manchester, NH, USA.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20180810
PL  - United States
TA  - Headache
JT  - Headache
JID - 2985091R
MH  - *Comorbidity
MH  - Humans
MH  - Migraine Disorders/*diagnosis/epidemiology/*therapy
MH  - Sleep Wake Disorders/*diagnosis/epidemiology/*therapy
OT  - chronification
OT  - insomnia
OT  - migraine
OT  - psychiatric comorbidity
OT  - sleep apnea headache
OT  - sleep disturbance
OT  - snoring
OT  - triggers
EDAT- 2018/08/11 06:00
MHDA- 2019/07/30 06:00
CRDT- 2018/08/11 06:00
PHST- 2018/05/25 00:00 [accepted]
PHST- 2018/08/11 06:00 [pubmed]
PHST- 2019/07/30 06:00 [medline]
PHST- 2018/08/11 06:00 [entrez]
AID - 10.1111/head.13357 [doi]
PST - ppublish
SO  - Headache. 2018 Jul;58(7):1074-1091. doi: 10.1111/head.13357. Epub 2018 Aug 10.