Secondary “hypnic headache-


Hypnic headache is a rare form of primary headache with attacks occurring exclusively with sleep. As it is typical of the elderly, a wide range of alternative diagnosis must be considered. We present a case report of a 54-year-old woman with unsuspected secondary hypnic headache that was relieved by anti-hypertensive therapy. We reviewed the literature to evaluate the usual diagnostic workup performed in hypnic headache patients. We suggest that 24 h ambulatory blood pressure monitoring may be included in the evaluation of nocturnal headache complaints especially in the elderly, in whom essential hypertension is a very frequent comorbidity.

DOI: 10.1007/s00415-006-0424-4
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@article{GilGouveia2006SecondaryH, title={Secondary “hypnic headache-}, author={Raquel Santos Gil-Gouveia and Peter James Goadsby}, journal={Journal of Neurology}, year={2006}, volume={254}, pages={646-654} }