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Hypnic Headache

  • Christian LamplEmail author
Chapter
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Part of the Headache book series (HEAD)

Abstract

A 61-year-old woman was admitted to our headache outpatient center with a 6-month history of headache attacks occurring every night. She had no history of other types of headache or any other neurological diseases. There was no family history of headache. The attacks always occurred between 1 and 3 o’clock, and the duration was no longer than 120 min. She experienced one attack per night. The pain quality was described as tightness and pressure, always right sided with mild to moderate intensity (3–6/10 on a visual analogue scale). There was no nausea or vomiting, no photophobia, or phonophobia. After waking up, she has the habit to walk around; however, headache did not worsen by that physical activity. Trigemino-autonomic symptoms, such as ptosis, miosis, conjunctival injection, tearing, and rhinorrhea, were absent. General, as well as neurological, examination was normal. The trapezius muscles were mildly pain sensitive to finger pressure. Blood pressure was normal. Routine blood tests only showed moderately high levels of cholesterol (total cholesterol 277 mg/dL, LDL cholesterol 162 mg/dL), as well as slightly elevated liver enzymes (alanine transaminase (ALT) 47, aspartate transaminase (AST) 41). Numerous treatments, such as aspirin, paracetamol, diclofenac, and several mixed analgesics, failed to improve their headache attacks. She suffered from extreme psychological strain, because of severe sleep disturbances. Lorazepam, used as a sleep-inducing drug, did not abort the headache attacks.

Keywords

Cluster Headache Trapezius Muscle Headache Attack Aspartate Transaminase Intracranial Hypotension 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Suggested Reading

  1. 1.
    Dodick DW (2000) Polysomnography in hypnic headache syndrome. Headache 40:748–752PubMedCrossRefGoogle Scholar
  2. 2.
    Dodick DW, Mosek AC, Campbell JK (1998) The hypnic (“alarm clock”) headache syndrome. Cephalalgia 18:152–156PubMedCrossRefGoogle Scholar
  3. 3.
    Dodick DW, Eross EJ, Parish JM (2003) Clinical, anatomical, and physiologic relationship between sleep and headache. Headache 43:282–292PubMedCrossRefGoogle Scholar
  4. 4.
    Evers S, Goadsby PJ (2003) Hypnic headache. Clinical features, pathophysiology, and treatment. Neurology 60:905–910PubMedCrossRefGoogle Scholar
  5. 5.
    Evers S, Rahmann A, Schwaag S, Lüdemann P, Husstedt IW (2003) Hypnic headache – the first German cases including polysomnography. Cephalalgia 23:20–23PubMedCrossRefGoogle Scholar
  6. 6.
    Pinessi L, Rainero I, Cicolin A, Zibetti M, Gentile S, Mutani R (2003) Hypnic headache syndrome: association of the attacks with REM sleep. Cephalalgia 23:150–154PubMedCrossRefGoogle Scholar
  7. 7.
    Raskin NH (1988) The hypnic headache syndrome. Headache 28:534–536PubMedCrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  1. 1.Headache Medical Center Seilerstaette LinzHospital Sisters of CharityLinzAustria

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