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        Cluster Headache Help and Support >> Cluster Headache Specific >> sleep test
        
(Message started by: dopey9499 on Jul 11^th, 2007, 7:51am)

Title: sleep test
Post by dopey9499 on Jul 11^th, 2007, 7:51am

yesterday I went to a nero and left really not satisfied, she suggested that I do a sleep test so last night I stayed at the doctors office hooked up to all kinds of machines ( and not one damn headache of course). Anyway I was just wondering if any one has gone through a sleep test for CH or if I was a part of a study for a new bed or something?

Title: Re: sleep test
Post by Karla on Jul 11^th, 2007, 8:04am

She must have suspected that you had sleep apnea. A high number of people with ch have sleep apnea. However, so far as we know sleep apnea has nothing to do with ch. Doesn't cause it, trigger it, etc.

Title: Re: sleep test
Post by Bob_Johnson on Jul 11^th, 2007, 9:09am

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

Title: Re: sleep test
Post by Patrick_A on Jul 11^th, 2007, 5:01pm

Process of elimination!
I'd try anything that might work.

Patrick_A

Title: Re: sleep test
Post by dopey9499 on Jul 11^th, 2007, 5:13pm

yea thats the only reason i had agreed to do it...well that and she gave me eight free stat dose injections and some :) and some zomig tablets but not sure if those work or not. but i also think I may be out of my cluster( hopfully) i have not really got a grasp on how long or when they come on.

Title: Re: sleep test
Post by eyes_afire on Jul 11^th, 2007, 7:19pm

Been there
Done that
I still have CH same as before... no help.
I was told I have an unusually fast REM onset (I didn't really need a doc to tell me that).

--- Steve