与睡眠呼吸暂停相关的夜间丛集性头痛。病例报告。

Nocturnal cluster headache associated with sleep apnea. A case report.

作者信息

Buckle P, Kerr P, Kryger M

机构信息

Section of Respiratory Diseases, University of Manitoba, Winnipeg, Canada.

出版信息

Sleep. 1993 Aug;16(5):487-9. doi: 10.1093/sleep/16.5.487.

DOI:10.1093/sleep/16.5.487

PMID:8378690

Abstract

We describe a 49-year-old man with chronic cluster headache unresponsive to all medications. Following investigation in the sleep lab he was found to have obstructive sleep apnea (OSA) with associated oxygen desaturations during rapid eye movement (REM) sleep. He awakened during one of these episodes with a typical headache. Treatment with nasal CPAP abolished his OSA and desaturations, and largely abolished his headaches. He then developed central apneas during REM sleep. Further treatment with BiPAP, with a set backup rate, abolished both the apneas and the headaches. We conclude that there may be a link between nocturnal cluster headaches and sleep apnea.

摘要

我们描述了一名49岁的男性，患有慢性丛集性头痛，对所有药物均无反应。在睡眠实验室进行检查后，发现他患有阻塞性睡眠呼吸暂停（OSA），在快速眼动（REM）睡眠期间伴有氧饱和度下降。他在其中一次发作中因典型头痛而醒来。鼻持续气道正压通气（CPAP）治疗消除了他的OSA和氧饱和度下降情况，并且在很大程度上消除了他的头痛。然后他在REM睡眠期间出现了中枢性呼吸暂停。使用双水平气道正压通气（BiPAP）并设置备用频率进行进一步治疗，消除了呼吸暂停和头痛。我们得出结论，夜间丛集性头痛与睡眠呼吸暂停之间可能存在联系。