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Current Understanding of the Chronobiology of Cluster Headache and the Role of Sleep in Its Management

Publikation: Bidrag til tidsskriftReviewpeer review

DOI

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Vis graf over relationer

Cluster headache is uniquely rhythmic in its occurrence both diurnally and annually. This has implications for the clinical approach to the patient but also for our understanding of the role of central structures in its pathological basis. Many intrinsic and extrinsic factors seem to influence CH rhythmicity, including genetics. The proclivity for attacks to occur at night and the possible association with particular sleep phenomena, including sleep apnea, have motivated a number of studies which has improved our understanding but many questions remain unanswered. The sleep-headache interaction seems to be bidirectional and possibly both direct and indirect. The latter could involve more disperse networks of homeostatic regulation, which may better encompass recent observations. Treatment of the headache patient with concurrent sleep problems can be particularly challenging, especially considering side-effects and interactions of commonly used medications. While current treatment guidelines do not incorporate chronotherapeutic thinking, some evidence may suggest that application of such principles on an individual level may be beneficial.

OriginalsprogEngelsk
TidsskriftNature and Science of Sleep
Vol/bind13
Sider (fra-til)153-162
Antal sider10
ISSN1179-1608
DOI
StatusUdgivet - 11 feb. 2021

Bibliografisk note

© 2021 Barloese.

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