Sleep and Headache Disorders: What a Clinician Needs to Know.

IF 7.4 2区医学 Q1 CLINICAL NEUROLOGY

Current Neurology and Neuroscience Reports Pub Date : 2026-03-03 DOI:10.1007/s11910-026-01487-1

Alana Fretes Burgos, Angeliki Vgontzas

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引用次数: 0

Abstract

PURPOSE OF REVIEW: Sleep and headache disorders share a complex, bidirectional relationship. This review summarizes current evidence on various aspects of sleep and three primary headache disorders—migraine, tension-type headache, and cluster headache. We also suggest inclusion of a clinical questionnaire and treatment pearls for clinicians treating patients presenting with headache and sleep complaints. RECENT FINDINGS: Several sleep disorders, particularly insomnia and restless legs syndrome, are highly prevalent in patients with migraine. Insomnia may contribute to or be a manifestation of a more severe migraine phenotype. Poor sleep is associated with worse pain severity for chronic tension type headache. Circadian studies in cluster headache further confirm hypothalamic and possibly, the trigeminal ganglion control. Behavioral interventions and pharmacologic considerations may optimize sleep and headache outcomes. Sleep symptoms and headache frequently co-occur, with emerging evidence identifying underlying networks and drivers. Individualized sleep assessments and interventions are an important part of comprehensive headache treatment for many patients.

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睡眠和头痛疾病：临床医生需要知道的。

综述的目的：睡眠和头痛疾病具有复杂的双向关系。这篇综述总结了目前关于睡眠和三种主要头痛疾病——偏头痛、紧张性头痛和丛集性头痛的各个方面的证据。我们还建议纳入临床问卷和治疗珍珠临床医生治疗患者提出头痛和睡眠投诉。最近发现：几种睡眠障碍，特别是失眠和不宁腿综合征，在偏头痛患者中非常普遍。失眠可能是更严重的偏头痛表型的一种表现。睡眠不足与慢性紧张性头痛的疼痛严重程度有关。集束性头痛的昼夜节律研究进一步证实了下丘脑和可能的三叉神经节的控制。行为干预和药理学考虑可以优化睡眠和头痛的结果。睡眠症状和头痛经常同时发生，新出现的证据确定了潜在的网络和驱动因素。对许多患者来说，个性化的睡眠评估和干预是综合头痛治疗的重要组成部分。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Neurology and Neuroscience Reports 医学-临床神经学

CiteScore

9.20

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Neurology and Neuroscience Reports provides in-depth review articles contributed by international experts on the most significant developments in the field. By presenting clear, insightful, balanced reviews that emphasize recently published papers of major importance, the journal elucidates current and emerging approaches to the diagnosis, treatment, management, and prevention of neurological disease and disorders. Presents the views of experts on current advances in neurology and neuroscience Gathers and synthesizes important recent papers on the topic Includes reviews of recently published clinical trials, valuable web sites, and commentaries from well-known figures in the field.