We present a case of hypnic headache successfully managed with occipital nerve stimulation. MATERIALS AND METHODS: A 64-year-old female presented with a four-year history of a right occipital headache that regularly awakened her from sleep. [ncbi.nlm.nih.gov]

• Pain

  BACKGROUND: Central facilitation of trigeminal pain processing and deficient habituation was observed in different headache and facial pain disorders. This overactivation seems to be primarily associated with chronic pain states. [ncbi.nlm.nih.gov]

• Swelling

  In case it is necessary for women to take multivitamins during Centrum multivitamin side effects comprise symptoms like headaches pain in the bones and joints as well as considerable weight loss. swelling around the ear. [bionexgen-fp7.eu]

  The location of the pain is around or behind one eye and there is usually swelling, excessive tearing or redness. There may also be nasal congestion and agitation. [thechart.blogs.cnn.com]

  Temporal Arteritis Headaches are the most common symptom of temporal (giant cell) arteritis, or TA, a disease that causes your arteries -- blood vessels that carry oxygen from your heart to the rest of your body -- to swell and narrow. [webmd.com]

• Fatigue

  You have signs of dehydration for example dizziness decreased urination (no urination at least every 8 hours) or severe fatigue. [bionexgen-fp7.eu]

  […] underlying disease; is associated with local tenderness and/or exacerbates on jaw movement. [4] SRB is characterized by frequent or regular tooth-grinding sounds during sleep with at least one of the following: (i) Abnormal wear of the teeth; (ii) jaw muscle fatigue [doi.org]

• Excessive Daytime Sleepiness

  daytime sleepiness that was found to be suffering from SRB. [doi.org]

• Snoring

  To establish if you have hypnic headache, you will need to see your doctor who will need to take a full history of your sleep patterns and night time habits (including snoring and restlessness). [migrainetrust.org]

  Limb Movement (Right leg) preceding the RMMA by 1 second and associated with micro-arousal (EEG), grinding sounds (Snore), normal airflow and increase in heart rate (BPM) Click here to view This adult male presented with complaints of morning headache [doi.org]

  It has been postulated that migraine, chronic daily headache, and perhaps other forms of chronic headache are progressive disorders. 25-26 Sleep-related variables including snoring, insomnia, daytime sleepiness, circadian rhythm disorders and parasomnias [headachejournal.org]

  Relationship between sleep apnoea syndrome, snoring and headaches. Cephalalgia. 2002;22(5):333-9. 2. Evans RW, Dodick DW, Schwedt TJ. The headaches that awaken us. Headache. 2006;46(4):678-81. 3. Vieira-Dias M, Esperanca P. [severe-headache-expert.com]

• Nausea

  No autonomic symptoms and no more than nausea, photophobia, or phonophobia are present. We report three children between 7 and 11 years old with HH features. [ncbi.nlm.nih.gov]

  Anti-nausea medication. Dehydration can affect your blood pressure leading to symptoms of dizziness. [bionexgen-fp7.eu]

  Symptoms include only ONE of nausea, photophobia (sensitivity to light), and phonophobia (sensitivity to sound). Usually occurs first after the age of 50, although more data shows the age of onset to usually be between the ages of 40 and 82. [helpforheadaches.com]

• Choking

  Another is that the vascular constriction that happens during migraine episodes doesn't choke off cerebral blood flow enough to cause aura symptoms. [flipper.diff.org]

• Hypertension

  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. [ncbi.nlm.nih.gov]

  As always, a new onset of headache in the elderly may be due to other causes and should be worked up to rule out hypertension and the rare possibility of tumors in the brain. [headache-adviser.com]

  Other possible causes of headache developing during and causing wakening from sleep should be ruled out, with particular attention given to sleep apnoea, nocturnal hypertension, hypoglycaemia and medication overuse; intracranial disorders must also be [ichd-3.org]

  • As with all primary headache disorders, the diagnosis is predicated on exclusion of secondary causes (posterior fossa and pituitary lesions, nocturnal hypertension) and other mimics. • Evidence suggests that there may be an associated decrease in [medlink.com]

• Hypotension

  Cough headache secondary to spontaneous intracranial hypotension complicated by cerebral venous thrombosis. Neurol Sci. Google Scholar Frese, A., A. Eikermann, et al. (2003). [link.springer.com]

• Restless Legs Syndrome

  Insomnia, restless legs syndrome (now called Ekbom isease), periodic limb movements, circadian rhythm disorders have all been associated with increased prevalence of headache as is insufficient sleep due to lifestyle choices. [thechart.blogs.cnn.com]

  Primary headaches in restless legs syndrome patients. Ann Indian Acad Neurol 2012;15 Suppl 1:S104-8. 6. American academy of sleep medicine. International Classification of Sleep Disorders. 3 rd ed. Diagnostic and coding manual. [doi.org]

• Photophobia

  No patient had autonomic manifestations, 70% had phonophobia, 50% had photophobia, and 50% had both. All of them (100%) had a VAS score equal to or higher than 8. [ncbi.nlm.nih.gov]

  Five of our patients (50%) reported associated phonophobia and photophobia. [elsevier.es]

  Symptoms include only ONE of nausea, photophobia (sensitivity to light), and phonophobia (sensitivity to sound). Usually occurs first after the age of 50, although more data shows the age of onset to usually be between the ages of 40 and 82. [helpforheadaches.com]

• Facial Pain

  BACKGROUND: Central facilitation of trigeminal pain processing and deficient habituation was observed in different headache and facial pain disorders. This overactivation seems to be primarily associated with chronic pain states. [ncbi.nlm.nih.gov]

  pain NOS Type 1 Excludes atypical face pain ( G50.1 ) migraine and other headache syndromes ( G43 - G44 ) trigeminal neuralgia ( G50.0 ) hypnic G44.81 ICD-10-CM Codes Adjacent To G44.81 G44.4 Drug-induced headache, not elsewhere classified G44.40 …… [icd10data.com]

  G44 Other headache syndromes Excludes1 headache NOS ( R51 ) Excludes2 atypical facial pain ( G50.1 ) headache due to lumbar puncture ( G97.1 ) migraines ( G43 .-) trigeminal neuralgia ( G50.0 ) G44.0 Cluster headaches and other trigeminal autonomic cephalgias [icd10coded.com]

  Another technique damages the nerve to prevent it from causing facial pain. Postherpetic Neuralgia Postherpetic neurlagia is nerve pain that lingers after an outbreak of shingles, a rash also known as herpes zoster that may also affect the face. [webmd.com]

  Headache and Facial Pain. Stuttgart: Thieme; 1999. 10. Cao MT, Guilleminault C, Kushida CA. Clinical features and evaluation of obstructive sleep apnea and upper airway resistance syndrome. In: Kyger MH, Roth T, Dement WC, editors. [doi.org]

• Headache

  Abstract Hypnic headache is a rare short-lasting headache occurring exclusively during sleep in the elderly population. [ncbi.nlm.nih.gov]

• Stroke

  Cerebrovascular Disease Headaches commonly accompany stroke. In a study of 163 patients who’d had a stroke, 60% reported a headache with the stroke, especially women and those with a history of headaches. [webmd.com]

  NIH: National Institute of Neurological Disorders and Stroke Cluster headache (Medical Encyclopedia) Headache (Medical Encyclopedia) Headaches -- danger signs (Medical Encyclopedia) Managing tension headaches at home (Medical Encyclopedia) Tension headache [icdlist.com]

  Stroke 17:1033–1042 PubMed CAS Google Scholar Purdy AP (2003) Late-life migraine accompaniments in middle age and the elderly. [link.springer.com]

  In an older person, new onset headaches may be the result of a serious disorder such as a brain tumor, stroke, or inflammation of the arteries of the head (a condition called giant cell arteritis). They therefore require extensive investigation. [headaches.org]

  Ackerman of Lewis Katz School of Medicine at Temple University and Director of Stroke and Vascular Neurology at St. Luke’s University Health Network received honorariums from Janssen. ) Sameer Ali MD ( Dr. [medlink.com]

• Confusion

  Get medical help right away if you have a headache after a blow to your head, or if you have a headache along with a stiff neck, fever, confusion, loss of consciousness, or pain in the eye or ear. [icdlist.com]

  (Lithium side effects included thirst, tremor, increased urination and confusion.) Other agents that have been reported to effectively treat hypnic headache include bedtime doses of caffeine (40-60 mg tablet or as a cup of coffee) and indomethacin. [headaches.org]

  “First” or “worst” headache, often accompanied by confusion, weakness, double vision or loss of consciousness. Headache that worsens over days or weeks or has changed in pattern or behavior. Recurring headache in children. [sfneurology.com]

  Symptoms of Aggressive nose bleeding that ruptures the see a doctor if you have pain or swelling around the eyes your forehead is swollen you have a headache or if you have confusion double vision stiff neck or a Getting the right pillow not only helps [bionexgen-fp7.eu]

• Seizure

  These symptoms can also be seen in strokes, transient ischemic attacks (TIAs), or some types of seizures, so the doctor will run tests to be sure of the cause. [webmd.com]

  Headache associated with convulsions (seizures). Two or more headaches a week. Persistent headache in someone who has been previously headache-free, particularly in someone over age 50. New headaches in someone with a history of cancer or HIV/AIDS. [sfneurology.com]

  She did not give a past history of migraines or recurrent headaches, seizures, neuralgias or other neurological disease. Family history was unremarkable. She had multiple medical consultations with poor resolution of symptoms. [bmcresnotes.biomedcentral.com]

• Agitation

  There may also be nasal congestion and agitation. Hypnic headache is a newly described headache syndrome that has been reported only in people older than 50. [thechart.blogs.cnn.com]

  […] asked about behaviour during a Hypnic Headache we found a total of 197 reported behaviours from our 80 self reported cases: 43 took painkillers, 20 stayed lying in bed, 35 rubbed their head or neck, 54 reported having to get up from bed, 12 reported agitation [severe-headache-expert.com]

We reviewed the literature to evaluate the usual diagnostic workup performed in hypnic headache patients. [ncbi.nlm.nih.gov]

If lithium treatment does not provide a significant response, indomethacin can be commenced as second-line approach. If these treatments prove to be ineffective or poorly tolerated, other agents, such as caffeine and melatonin, can be administered. [ncbi.nlm.nih.gov]

We describe results of an internet based survey to identify people with Hypnic Headache and seek their descriptions of headache symptoms, treatment options, prognosis and theories on causation. [severe-headache-expert.com]

Headache associated with sexual activity: prognosis and treatment options. Cephalalgia 27(11): 1265–1270. PubMed CrossRef Google Scholar Garza, I. and K. H. Oas (2009). [link.springer.com]

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]

Nevertheless, a better knowledge of causative neurobiological mechanisms would allow to foresee etiology-based treatments. KEYWORDS: Dopamine ; Electromyography ; Sleep bruxism ; Tooth grinding [Indexed for MEDLINE] Free full text [ncbi.nlm.nih.gov]

Etiology of sleep bruxism: A review of the literature. Recenti Prog Med 2008;99:322-8. 13. Wills L, Garcia J. Parasomnias: Epidemiology and management. CNS Drugs 2002;16:803-10. 14. van der Zaag J, Naeije M, Wicks DJ, Hamburger HL, Lobbezoo F. [doi.org]

BIONEXGEN-FP7 CENTER Psychology definition for Etiology in normal everyday language, edited by psychologists, professors and leading students. I can't stress enough how amazing magnet therapy is in relieving shoulder pain. [bionexgen-fp7.eu]

Parasomnias: Epidemiology and management. CNS Drugs 2002;16:803-10. 14. van der Zaag J, Naeije M, Wicks DJ, Hamburger HL, Lobbezoo F. [doi.org]

Headache 10:677–681 CrossRef Google Scholar Schwartz BS (1998) Epidemiology of tension-type headache. [link.springer.com]

Until a population based epidemiologic survey is completed, we will never be able to establish the true demographics of people with Hypnic Headache. [severe-headache-expert.com]

Epidemiology Originally believed to be a disorder of the elderly, subsequent reports suggest that the disorder may begin earlier, but many patients suffer for decades before the diagnosis is made. [flipper.diff.org]

Neurology 38: 685–689 PubMed Google Scholar Castillo J, Munoz P, Guitera V, Pascual J (1999) Epidemiology of chronic daily headache in the general population. [springerlink.com]

METHOD: Current studies that deal with the pathophysiology of HH are summarized. [ncbi.nlm.nih.gov]

As for prevention, a wide variety of medications were reported to be of benefit in HH. The drugs that were found to be effective in at least five cases are: lithium, indomethacin, caffeine and flunarizine. [ncbi.nlm.nih.gov]

Some alarm clock headache sufferers have been prescribed Topamax (topiramate) to prevent these headaches. Anti-inflammatory drugs may also be recommended for preventing or treating them upon waking. [migrainerelief.com]

Related: How to prevent sleep paralysis [belmarrahealth.com]