Document Detail

Secondary "hypnic headache".
MedLine Citation:
PMID:  17404778     Owner:  NLM     Status:  MEDLINE    
Hypnic headache is a rare form of primary headache with attacks occurring exclusively with sleep. As it is typical of the elderly, a wide range of alternative diagnosis must be considered. We present a case report of a 54-year-old woman with unsuspected secondary hypnic headache that was relieved by anti-hypertensive therapy. We reviewed the literature to evaluate the usual diagnostic workup performed in hypnic headache patients. We suggest that 24 h ambulatory blood pressure monitoring may be included in the evaluation of nocturnal headache complaints especially in the elderly, in whom essential hypertension is a very frequent comorbidity.
Raquel Gil-Gouveia; Peter J Goadsby
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2007-04-03
Journal Detail:
Title:  Journal of neurology     Volume:  254     ISSN:  0340-5354     ISO Abbreviation:  J. Neurol.     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-05-15     Completed Date:  2007-10-12     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0423161     Medline TA:  J Neurol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  646-54     Citation Subset:  IM    
Headache Group, Institute of Neurology, Queen Square, LondonWC1N 3BG, UK.
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MeSH Terms
Antihypertensive Agents / therapeutic use
Blood Pressure / drug effects,  physiology
Headache Disorders, Primary / complications*,  diagnosis,  drug therapy
Middle Aged
Polysomnography / methods
Review Literature as Topic
Sleep Disorders / complications*
Reg. No./Substance:
0/Antihypertensive Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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