Rains Jeanetta C, Davis Rachel E, Smitherman Todd A
Center for Sleep Evaluation at Elliot Hospital-River's Edge, 185 Queen City Avenue, Manchester, NH, 03101, USA,
Curr Neurol Neurosci Rep. 2015;15(2):520. doi: 10.1007/s11910-014-0520-2.
This review describes empirical evidence for a bidirectional relationship between tension-type headache (TTH) and sleep. In its most severe form, chronic TTH (CTTH) affects 2-3 % of the population and can be very disabling. Sleep dysregulation triggers episodic TTH, and sleep disorders may complicate and exacerbate headache. The majority of CTTH sufferers also have insomnia, and longitudinal data suggest that insomnia is a risk factor for new-onset TTH. Similarly, observational studies suggest that sleep disturbance is a risk factor for new-onset TTH and for progression from episodic to chronic TTH (i.e., headache "chronification"). CTTH is the most common headache secondary to sleep apnea and other sleep-related breathing disorders. Psychiatric disorders are comorbid with both TTH and insomnia and may further complicate diagnosis and treatment. Developments in diagnostic classification of sleep-related headache are presented.
本综述描述了紧张型头痛（TTH）与睡眠之间双向关系的实证证据。在其最严重的形式中，慢性紧张型头痛（CTTH）影响2%-3%的人口，并且可能非常致残。睡眠失调引发发作性紧张型头痛，睡眠障碍可能使头痛复杂化并加重。大多数慢性紧张型头痛患者也有失眠，纵向数据表明失眠是新发紧张型头痛的一个危险因素。同样，观察性研究表明睡眠障碍是新发紧张型头痛以及从发作性紧张型头痛进展为慢性紧张型头痛（即头痛“慢性化”）的危险因素。慢性紧张型头痛是继发于睡眠呼吸暂停和其他与睡眠相关的呼吸障碍的最常见头痛类型。精神障碍与紧张型头痛和失眠都并存，并且可能使诊断和治疗进一步复杂化。本文介绍了与睡眠相关头痛的诊断分类进展。
