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Title: another new one on me... Post by UnsolvedEquation on Oct 9th, 2003, 12:21pm My neurologist just called : I posted awhile back about my neuro going to a convention where they devoted a good amount of time talking about CH. They say that a high percentage of clusterheads have sleep apnea and are undiagnosed. They also say... If you find out you have sleep apnea and you treat it accordingly, your clusters may be reduced by up to 70%. Well...I just had my sleep study night before last and low and behold ~ I have sleep apnea. My O2 levels dropped to 85%. I go in for another test on the 20th. |
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Title: Re: another new one on me... Post by KingOfPain on Oct 9th, 2003, 1:19pm Repost(s). <http://www.achenet.org/articlessave/52198/weintraub.htm> Headaches and Sleep: The Connection by James R. Weintraub, D.O. We live in a sleepy society. Many people live in chronic pain. Often headaches and sleep disorders, specifically insomnia and sleep apnea, coexist with one aggravating the other. Brain systems involved in the regulation of sleep may also play a predominant role in the initiation of migraine. Some of the brain physiological changes that occur during sleep, particularly during REM sleep, are similar to those described during migraine headaches. There have been several clinical studies which have demonstrated an association between migraine headaches and sleep, and often headache can be a presenting symptom of sleep disorders. Many researchers have found an increased incidence of sleep disturbance in chronic headache patients, although the data are difficult to quantify because nighttime sleep studies are not always feasible in chronic headache patients. Below, I will discuss some of the different sleep disorders and their relationship with various types of headaches including migraine and cluster headaches. There are various stages of sleep that we go through during the night. The most important stage in relation to headache is probably REM sleep. REM sleep, which occurs 4-6 times during the night, is the dreaming state of sleep. We do know that migraine headaches, and even more so cluster headaches, occur in direct relationship to the number of REM sleep periods that one has during the night. We also know from experiments in the 1950s that people who were REM sleep deprived were more likely to develop some underlying psychiatric or depressive illness with or without headaches. It is suspected that certain chemicals in the brain not only play a role in the mechanism of migraine but also predispose people to awaken from REM sleep with a headache. Migraine attacks may not only be precipitated by sleep deprivation, but by excessive sleep, as is the case frequently on the weekends when people sleep in and trigger a headache. It is also known that sleep is associated with the relief of migraine attacks. There have been observations in scientific studies that when sleep acts as a precipitating factor for a headache, it is usually sleep deprivation that stimulated the attack. Other people have experienced migraine attacks precipitated by excessive sleep where the pain is relieved or aborted with the onset of sleep. Migraine headaches usually occur either during or after REM sleep or in delta sleep which is the deep sleep that we all require in order to feel alert and refreshed the following day. What remains unclear are whether the changes in the neurotransmitter or chemical systems in the brain, hormonal influences, or a combination of several different phenomenon are the cause. Research has suggested that certain headache disorders are associated with different patterns of sleep disturbance, which may influence the response to treatment. There has been a link between the cyclical variation in cluster headaches and chronic paroxysmal hemicrania, a certain type of one-sided headache, to the REM sleep cycle. Nighttime or early morning headaches are common in sleep apnea, and there have been episodes of nocturnal cluster headaches precipitated by decreased oxygen from apneas that occur during the night. Sleep apnea is an underdiagnosed and undertreated problem in our society. It is more often seen in middle-aged men than women, and is characterized by loud snoring, being excessively sleepy throughout the day and having periods in which the person stops breathing during the night. Sleep apnea can be diagnosed by a nighttime sleep study, and successfully treated predominately with nasal CPAP, which involves the use of a mask and breathing machine during the night. Since decreased oxygen and transient hypertension are noted to occur with sleep apnea, it has been suggested that these factors can trigger early morning headaches. These headaches are typically located in the frontal areas, but can be diffuse involving the entire head. Cluster headaches are a one-sided severe headache attack that is usually accompanied by nasal stuffiness and eye tearing, and frequently occur during nighttime. There has been an association of these attacks to REM sleep, and research has noted an increased incidence of sleep apnea in patients who experience cluster headaches. In fact, in one report patients who have cluster headaches and sleep apnea were also noted to have experienced bed-wetting and night terrors during childhood. In patients with cluster headaches who have sleep apnea, it is suggested that they may be experiencing an episodic decrease in oxygen during the night that can precipitate the headache attacks. In patients who have chronic cluster headaches, it is noted that two-thirds of the attacks usually occur during the last 2 hours of sleep. (continued, next post) |
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Title: Re: another new one on me... Post by KingOfPain on Oct 9th, 2003, 1:20pm In children who experience migraine headaches, there has also been an association with sleepwalking. Boys are more likely than girls to sleepwalk, although girls are more likely to experience headaches. The general population experiences a 1%-6% likelihood of sleep walking, yet this rises to 30% in migraine patients. There have been suggestions that serotonin, a brain chemical that is believed to be involved in the generation of migraine headaches, may vary greatly in the brain of patients who sleepwalk and could be the connection between these two problems. There appears to be prominent associations between various sleep disorders and different headache types, and research is ongoing to look for anatomical, biochemical and electrophysiological relationships between these two entities. It is believed that structures in the lower back part of the brain, the brainstem, play a significant role in headache generation and normal sleep. In addition, a structured and regular sleep schedule can help to decrease the frequency of headaches, given the impact of excessive sleep or sleep deprivation on triggering headaches. When you discuss a headache problem with your physician, it is important that you give as much information as possible about your normal sleep patterns. It is important for the physician to be aware of the various sleep problems that can lead to increased severity of headache. Sleep apnea, sleep deprivation and insomnia are common sleep problems that are associated with headaches. Hopefully, in the future a better understanding of the relationship between headache and sleep will be achieved as experiments in both fields try to help people with these problems. James Weintraub, D.O. Michigan Head* Pain & Neurological Institute. Ann Arbor, MI Reprinted with permission from Making Headway, the Help for Headaches newsletter, Windsor, Canada (June 1997). From Headache, volume 8, issue 4. Winter 1997-1998 |
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Title: Re: another new one on me... Post by KingOfPain on Oct 9th, 2003, 1:20pm See 1st link. <http://www.sleepmed.md/patient_prepstudy.htm> More for information: <http://www.sleep-breathing.bc.ca/sleep.htm> <http://www.sleepstudy.org/> <http://www.talkaboutsleep.com/sleepbasics/viewasleepstudy.htm> KingOfPain |
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Title: Re: another new one on me... Post by KingOfPain on Oct 9th, 2003, 1:21pm UnsolvedEquation, Just thought I would provide some info. Even if it is some what dated, still an interesting read. Hope you don't mind. KingOfPain |
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Title: Re: another new one on me... Post by brain_cramps on Oct 9th, 2003, 1:48pm KOP: very interesting read... I am going to go for a sleep study as soon as my gov't healthcare kicks in (probably Jan.) Since quitting drinking, I'm amazed if I get more than 4 hours of sleep per night. (This gives me a LOT of extra time to study.) When I was a kid, I could regularly get by with minimal sleep. I rarely slept in until the "drinking years" began. Even after a night of drinking, I rarely would sleep more than 6 hours. Also, I've always had problems with drowsiness during the day ie. falling asleep within the first hour after lunch. (In the past, that has even got me kicked off of a contract. >:() After a 10 minute power-nap, I'm refreshed and ready to go. Anyone else have "bizarre" sleep patterns? grant 8) |
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Title: Re: another new one on me... Post by brain_cramps on Oct 9th, 2003, 1:49pm BTW... what happened to "unsolved equation"? He was here a couple of hours ago to start this thread, but now he is showing up as a "guest". |
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Title: Re: another new one on me... Post by jonny on Oct 9th, 2003, 1:53pm His profile has been deleted, dont know if he deleted it or not but its gone. ..................................jonny |
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Title: Re: another new one on me... Post by gmlevenhagen on Oct 9th, 2003, 2:12pm Just went through same thing my self and my doc said same thing also Gena |
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Title: Re: another new one on me... Post by brain_cramps on Oct 9th, 2003, 2:19pm on 10/09/03 at 13:53:15, jonny wrote:
Your grasp of the obvious is underwhelming, jonny LMAO grant ;) |
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Title: Re: another new one on me... Post by Woobie on Oct 9th, 2003, 2:20pm Ramon has sleep apnea too.......... Where'd UE go? |
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Title: Re: another new one on me... Post by jonny on Oct 9th, 2003, 4:07pm on 10/09/03 at 14:19:08, brain_cramps wrote:
STFU.....LMMFAO ;D ......................................jonny |
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Title: Re: another new one on me... Post by Big_Dan on Oct 9th, 2003, 5:27pm http://www.wackyweaselworld.com/gamespot/flameINC/MISC1.gif -Big Dan |
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Title: Re: another new one on me... Post by brain_cramps on Oct 9th, 2003, 5:29pm WAAAAAYYYYYY TOO FUNNY!!!! Dan |
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Title: Re: another new one on me... Post by Ree on Oct 9th, 2003, 8:49pm LMH(iney)O...you guys are better than watching the sox tonight........ wayyyyyyyyyy better.... we can't lose.........wahhhhh~ ree * whose really sad right now bout the sox |
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Title: Re: another new one on me... Post by taraann on Oct 9th, 2003, 9:15pm Ok has anyone figured out what happened to UE yet? |
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