Alteration in polysomnographic profile in ‘migraine without aura’ compared to healthy controls

Karthik, Naveen; Sinha, Sanjib; Taly, Arun B.; Kulkarni, Girish Baburao; Ramachandraiah, Chaitra T.; Rao, Shivaji

doi:10.1016/j.sleep.2012.10.019

Cited by 33 publications

(34 citation statements)

References 15 publications

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“…[76] examined patients suffering from migraine without aura (mean attack frequency 7.4±6.4 attacks/month, mean PSQI score 6.8±3.3), as compared to HC. SE was significantly lower (76.2±13.6 vs 84.7±7.1 %), SOL higher (27.0±23.1 vs 15.1±15.7 min), and stage 4 lower (2.4±3.7 vs 6.2±6.6 %), for migraine subjects compared to HC.…”

Section: Migraine and Tension-type Headachementioning

confidence: 99%

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Polysomnographic characteristics in nonmalignant chronic pain populations: A review of controlled studies

Bjurström¹,

Irwin²

2016

Sleep Medicine Reviews

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Summary Sleep and pain are critical homeostatic systems that interact in a bidirectional manner. Complaints of sleep disturbance are ubiquitous among patients with chronic pain disorders, and conversely, patients with persistent insomnia symptoms commonly report suffering from chronic pain. Sleep deprivation paradigms demonstrate that partial or complete sleep loss induce hyperalgesia, possibly due to shared mechanistic pathways including neuroanatomic and molecular substrates. Further, chronic pain conditions and sleep disturbances are intertwined through comorbidities, which together cause detrimental psychological and physical consequences. This critical review examines 29 polysomnography studies to evaluate whether nonmalignant chronic pain patients, as compared to controls, show differences in objective measures of sleep continuity and sleep architecture. Whereas these controlled studies did not reveal a consistent pattern of objective sleep disturbances, alterations of sleep continuity were commonly reported. Alterations of sleep architecture such as increases in light sleep or decreases in slow-wave sleep were less commonly reported and findings were mixed and also inconsistent. Methodological flaws were identified, which complicated interpretation and limited conclusions; hence, recommendations for future research are suggested. Knowledge of abnormalities in the sleep process has implications for understanding the pathophysiology of chronic pain conditions, which might also direct the development of novel intervention strategies.

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Section: Migraine and Tension-type Headachementioning

confidence: 99%

“…Adaptation night was missing in seven of the studies [37,51,52,68,76,77,85]. This potentially introduces the confounding first-night effect, i.e., disturbance of sleep due to the circumstances of sleeping in a sleep laboratory environment, or being hooked-up to EEG equipment.…”

Section: Adaptation Nightmentioning

confidence: 99%

Polysomnographic characteristics in nonmalignant chronic pain populations: A review of controlled studies

Bjurström¹,

Irwin²

2016

Sleep Medicine Reviews

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“…Patients with migraine tend to have several problems with sleep quality and continuity [7,8]. Studies have also shown that patients with narcolepsy have a significantly higher prevalence of migraine [9] as compared to the general population.…”

Section: Introductionmentioning

confidence: 99%

Study of sleep microstructure in patients of migraine without aura

et al. 2015

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“…In a hospital-based study of thirty migraineurs without aura, Karthnik and colleagues reported that migraineurs had longer latency to sleep onset, less non-rapid-eye-movement (NREM) sleep, lower arousal-index, more awakenings, longer time in bed and more awake time as compared with 32 healthy controls (all p-values <0.05) (18). Furthermore, Engstrom et al (27) reported that migraineurs were more likely to endorse subjective sleep problems (in response to the PSQI) and to have poor sleep quality (measured objectively using the PSG methodology.…”

Section: Discussionmentioning

confidence: 99%

Sleep disturbances among pregnant women with history of migraines: A cross-sectional study

et al. 2015

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Background Migraine is associated with sleep disturbances in men and non-pregnant women. However, relatively little is known about sleep disturbances among pregnant migraineurs. We investigated sleep disturbances among pregnant women with and without history of migraine. Methods This cross-sectional study was conducted among 1,324 women who were recruited during early pregnancy. Migraine diagnoses were based on the International Classification of Headache Disorders-II criteria. Pittsburgh Sleep Quality Index (PSQI) questionnaire was used to evaluate sleep-related characteristics including sleep duration, sleep quality, excessive daytime sleepiness, and other sleep traits. Multivariable logistic regression procedures were used to estimate adjusted odds ratios (AORs) and 95% confidence intervals (CIs). Results Migraineurs were more likely than non-migraineurs to report short sleep duration (≤6 hours) (AOR=1.47, 95% CI 1.07–2.02), poor sleep quality (PSQI>5) (AOR=1.73, 95% CI 1.35–2.23), and daytime dysfunction due to sleepiness (AOR=1.51, 95% CI 1.12–2.02). Migraineurs were also more likely than non-migraineurs to report taking sleep medication during pregnancy (AOR=1.71, 95% CI 1.20–2.42). Associations were generally similar for migraine with or without aura. The odds of sleep disturbances were particularly elevated among pre-pregnancy overweight migraineurs. Conclusion Migraine headache and sleep disturbances are common co-morbid conditions among pregnant women.

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Alteration in polysomnographic profile in ‘migraine without aura’ compared to healthy controls

Cited by 33 publications

References 15 publications

Polysomnographic characteristics in nonmalignant chronic pain populations: A review of controlled studies

Polysomnographic characteristics in nonmalignant chronic pain populations: A review of controlled studies

Study of sleep microstructure in patients of migraine without aura

Sleep disturbances among pregnant women with history of migraines: A cross-sectional study

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