Bruni O, Fabrizi P, Ottaviano S, Cortesi F, Giannotti F, Guidetti V
Department of Developmental Neurology and Psychiatry, University of Rome La Sapienza, Italy.
Cephalalgia. 1997 Jun;17(4):492-8. doi: 10.1046/j.1468-2982.1997.1704492.x.
Although a relationship between headache and sleep disturbances has been reported in adults, only few data have been available in children. Accordingly, we performed a survey to determine the prevalence of sleep disturbances in children with migraine and tension-type headache. A questionnaire of history and clinical data and of sleep disturbances was given to parents of 283 headache subjects (164 with migraine and 119 with tension-type headache). Results were compared to a normative group comparable for age and sex of 893 normal healthy subjects. Migraine subjects showed a higher prevalence of sleep disturbances during infancy as well as 3-month colic. In both headache groups, more parents had sleep disturbances and there was a higher occurrence of co-sleeping and napping. A high frequency of sleep disturbances involving sleep quality, night awakenings, nocturnal symptoms and daytime sleepiness was reported in headache children. No statistical differences were found in the prevalence of sleep disturbances between migraine and tension-type headache. However, the migraine group tended to have "disturbed sleep" more often with increased prevalence of nocturnal symptoms such as sleep breathing disorders and parasomnias. Our results give further support to an association between sleep and migraine that may have a common intrinsic origin.
尽管成人中已报道头痛与睡眠障碍之间存在关联，但儿童方面的数据却很少。因此，我们进行了一项调查，以确定偏头痛和紧张型头痛患儿睡眠障碍的患病率。我们向283名头痛患儿（164名偏头痛患儿和119名紧张型头痛患儿）的家长发放了一份关于病史、临床数据及睡眠障碍的问卷。将结果与893名年龄和性别匹配的正常健康受试者的标准组进行比较。偏头痛患儿在婴儿期以及3个月肠绞痛时睡眠障碍的患病率更高。在两个头痛组中，更多家长存在睡眠障碍，同睡和午睡的发生率也更高。头痛患儿中报告了涉及睡眠质量、夜间觉醒、夜间症状和日间嗜睡的高频率睡眠障碍。偏头痛和紧张型头痛之间睡眠障碍的患病率未发现统计学差异。然而，偏头痛组“睡眠紊乱”的倾向更常见，睡眠呼吸障碍和异态睡眠等夜间症状的患病率增加。我们的结果进一步支持了睡眠与偏头痛之间可能存在共同内在起源的关联。
