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        New Message Board Archives >> 2004 Cluster Headache Specific Posts >> Sleep Apnea--new report
        
(Message started by: Bob_Johnson on Sep 16^th, 2004, 4:55pm)

Title: Sleep Apnea--new report
Post by Bob_Johnson on Sep 16^th, 2004, 4:55pm

Headache. 2004 Jun;44(6):607-10.

Obstructive sleep apnea and cluster headache.

Graff-Radford SB, Newman A.

The Pain Center, Cedars Sinai Medical Center and UCLA School of Dentistry, Los Angeles, CA 90048, USA.

A patient with cluster headache often wakes from sleep. The relationship to sleep apnea has been described. This study sought to confirm the relationship cluster may have with sleep apnea. METHODS: Thirty-nine consecutive patients diagnosed with episodic cluster headache according to the International Headache Society (IHS) criteria were sent for polysomnographic studies. All patients were in an active phase when they were in the study. Patients were told of the proposed relationship and were allowed to choose a sleep laboratory close to their home. RESULTS: Thirty-one patients with episodic cluster headache completed an overnight polysomnographic study. Twenty-three were male and eight female. The average age was 51 years (range 33 to 78 years). The average weight was 173 pounds (range 117 to 260 pounds). A total of 80.64% had sleep apnea (25/31). Average respiratory depression index (RDI) was 19.0 (SD 14.6) with 6 patients having no apnea, 10 having mild, 11 having moderate, and 4 having severe apnea (RDI < 5 = none; RDI 5 to 20 mild; RDI 20 to 40 moderate; RDI > 40 severe). Oxygen saturation decreased on average to 88.4% SD 4.5. Sleep efficiency was 76.2% (SD 13.4). CONCLUSIONS: The data closely approximate those of Chervin et al, where 80% had RDI > 5. The relationship sleep apnea has in the perpetuation or precipitation of cluster headache is still to be determined. There are some reports that treatment stops the cluster but there is no prospective study. The high incidence (80.64%) seen in this population suggests the cluster patient should receive a sleep evaluation and perhaps intervention with continuous positive airway pressure (CPAP) or an appropriate dental device.

PMID: 15186306 [PubMed - indexed for MEDLINE]

Title: Re: Sleep Apnea--new report
Post by Tom K on Sep 16^th, 2004, 4:59pm

I've got a CPAP and still get my CH's. Just takes a few extra seconds to get the gear off and get to the meds when they hit at night. Someone posted on here about the sleep apnea being a hypothalamus thing rather than a mechanical thing, which most sleep apena patients have. Don't know how they test for it, but someone on here must know.

Title: Re: Sleep Apnea--new report
Post by Superpain on Sep 16^th, 2004, 6:15pm

Interesting...
It does seem an innordinately high percentage of us have sleep apnea.

I have an unusual form of it that causes me to hold my breath in my sleep then expel the air in "poofs". It drives my wife crazy! [smiley=laugh.gif]

Title: Re: Sleep Apnea--new report
Post by karma on Sep 17^th, 2004, 7:33am

My wife has sleep apnea and no CH
I have CH and no sleep apnea.
go figure!

Title: Re: Sleep Apnea--new report
Post by KanKan on Sep 18^th, 2004, 1:36am

i dont have sleep apnea as far as i know, but i snore lika mofo during cycle

Title: Re: Sleep Apnea--new report
Post by buckeyescooter on Sep 19^th, 2004, 12:47am

I was one of those 39......Allan Newman is my neuro.....I was fitted for a device because I have mild to moderate sleep apnea. I'm ashamed to say I never went back to have the final fitting once the mold was ready. I'm not really sure it would've helped though.