Hypnic Headache

@article{Evers2005HypnicH,
  title={Hypnic Headache},
  author={S. Evers and P. Goadsby},
  journal={Practical Neurology},
  year={2005},
  volume={5},
  pages={144 - 149}
}
INTRODUCTION Hypnic headache is a rare episodic headache syndrome first described by Raskin in 1988. It has also been called ‘clockwise headache’ or ‘alarm-clock headache’ (Newman et al. 1990). More than 80 similar cases have been reported and our recent systematic review of all published cases described the typical clinical picture and treatment options (Evers & Goadsby 2003). Characteristically, many times a month, a dull pain wakens the patient from sleep, it lasts for more than 15 min… Expand
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Hypnic headache: an update
TLDR
Sufficient evidence, mainly from polysomnographic studies, indicates that HH is a primary rapid eye movement (REM) sleep-related headache disorder of chronobiological origin and Lithium, melatonin, indomethacin and caffeine at bedtime are among the most effective therapeutic options. Expand
Hypnic headache
TLDR
The analysis shows that hypnic headache most probably is an entity among the idiopathic headache disorders unassociated with structural lesions and does not belong to the trigeminal-autonomic cephalalgias. Expand
Case report of hypnic headache: a rare headache disorder with nocturnal symptoms
TLDR
An 86-year-old female presented with chronic daily headache of 1 year duration and remains headache free on low dose indomethacin maintenance at 1  year after the diagnosis of hypnic headache, suggesting better understanding of uncommon headache syndromes. Expand
Acoustic neuroma presenting as a hypnic headache
TLDR
A 40-year-old woman with Acoustic neuroma that presented with 4 months of generalised, throbbing, nocturnal headaches that woke her from sleep is described, advocating for neuroimaging to exclude structural causes. Expand
Other Primary Headache Disorders
TLDR
Patients with primary headache disorders that are classified as “other primary headaches disorders” have presentations with unique diagnostic and management considerations, and an appreciation of the diagnoses will aid clinicians in providing safe and effective care for patients presenting with headache. Expand
Ambulatory Blood Pressure Monitoring in Patient With Hypnic Headache: A Case Study
TLDR
A case of hypnic headache is reported, in which the patient had elevated blood pressure during sleep and was diagnosed by ambulatory blood pressure monitoring (ABPM) and responded to therapy with beta-blocker. Expand
European headache federation consensus on technical investigation for primary headache disorders
TLDR
The consensus recommends brain MRI for the case of migraine with aura that persists on one side or in brainstem aura and brain MRI with detailed study of the pituitary area and cavernous sinus for all TACs. Expand
First Austrian Case of Hypnic Headache: Serial Polysomnography and Blood Pressure Monitoring in Treatment With Indomethacin
TLDR
According toICHD-II, subjects complaining of exclusively sleep-related dull headache can be diagnosed with hypnicheadache if at least two of the following are present: occurrence > 15 times per month; duration of pain for 15 min after waking; age at onset after50 years. Expand
Description of series of 10 patients with hypnic headache: Discussion of the diagnostic criteria.
TLDR
The results show the major changes in the criteria: pain is not always dull, headache frequency may be less than 15 days a month, and it can occur in people under age 50. Expand
Remission of Hypnic Headache Associated with Idiopathic Cyclic Edema with the Use of Aminaphtone
TLDR
A case of daily intermittent headaches in a patient with idiopathic cyclic edema who was prescribed aminaphtone which cured the headaches within two days after initiating treatment. Expand
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References

SHOWING 1-10 OF 43 REFERENCES
Episodic Hypnic Headache?
TLDR
The review of the published cases suggests that hypnic headache tends to be a chronic unremitting disorder. Expand
The Hypnic (“Alarm Clock”) Headache Syndrome
TLDR
Hypnic headache syndrome is a rare, sleep-related, benign headache disorder that largely remains unchanged or attenuates over time, but frequency may vary in either direction. Expand
Posterior Fossa Meningioma Presenting as Hypnic Headache
TLDR
A patient who presented with otherwise typical hypnic headache accompanied by longstanding bilateral deafness and minimal imbalance was described, and magnetic resonance imaging showed evidence of a posterior fossa meningioma. Expand
Hypnic Headache: Another Indomethacin‐Responsive Headache Syndrome?
TLDR
Hypnic headache syndrome appears to represent yet another headache disorder in which there is sometimes an impressive response to indomethacin, and lithium has been reported to be an effective treatment, but the side effects of this medication are sometimes prohibitive. Expand
Polysomnography in Hypnic Headache Syndrome
TLDR
Three patients with long‐standing hypnic headache underwent overnight polysomnography and the results were quite variable, ranging from normal to marked sleep insufficiency. Expand
Hypnic headache: a case report with polysomnography.
TLDR
An additional case supports the view of a relationship between the hypnic headache syndrome and the REM sleep stage and Lithium therapy decreased the intensity and frequency of headache attacks. Expand
Cefaleas hípnicas: cuatro casos clínicos
TLDR
Although some patients did not fulfil the diagnostic criteria described by Dodick et al in a previous series of cases, the night-time presentation with no associated autonomic disorder and good response to lithium carbonate were in favour of the diagnosis of hypnic headaches. Expand
A review of paroxysmal hemicranias, SUNCT syndrome and other short-lasting headaches with autonomic feature, including new cases.
TLDR
It is suggested that the short-lasting primary headache syndromes are sufficiently well established for inclusion in the International Headache Society Classification system and that trigeminal-autonomic cephalalgias should be classified as a group together. Expand
Hypnic Headache Syndrome
  • K. Ravishankar
  • Medicine
  • Cephalalgia : an international journal of headache
  • 1998
TLDR
A recently seen case that is of interest to the discussion of the overlap between trigeminal neuralgia and SlfNCT is described and a patient with short-lasting unilateral pain and autonomic symptoms should be best classified as SUNCT. Expand
Hypnic Headache - the First German Cases Including Polysomnography
TLDR
Although mean nocturnal oxygen saturation was decreased in another patient, nightly oxygen inhalation did not result in an improvement of the headache and hypnic headache was also associated with periodic limb movements. Expand
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