A case-control study on excessive daytime sleepiness in chronic migraine

2013 ◽  
Vol 14 (3) ◽  
pp. 278-281 ◽  
Author(s):  
Piero Barbanti ◽  
Cinzia Aurilia ◽  
Gabriella Egeo ◽  
Luisa Fofi ◽  
Nicola Vanacore
Cephalalgia ◽  
2007 ◽  
Vol 27 (10) ◽  
pp. 1115-1119 ◽  
Author(s):  
P Barbanti ◽  
G Fabbrini ◽  
C Aurilia ◽  
N Vanacore ◽  
G Cruccu

Migraine patients often complain of sleepiness, a problem that manifests both during and outside an attack, may impair the quality of life and can lead to potentially harmful situations. Findings from an uncontrolled study suggest that a high percentage of migraineurs experience excessive daytime sleepiness (EDS). We investigated EDS in a case-control study on 100 patients with episodic migraine and 100 age- and sex-matched healthy controls and also assessed sleep quality, anxiety and depression. Although it was found that EDS was more frequent in migraineurs than in controls (14% vs. 5%; odds ratio 3.1; 95% confidence interval 1.1–8.9), the frequency was lower than previously reported. EDS correlated with migraine disability, sleep problems and anxiety. EDS in patients with migraine probably stems from the full constellation of headache-sleep-affective symptoms resulting from the complex clinical burden of the disease.


2016 ◽  
Vol 6 (2) ◽  
pp. 79-86 ◽  
Author(s):  
Matilde Gammino ◽  
Leila Zummo ◽  
Anna Lo Bue ◽  
Lidia Urso ◽  
Valeria Terruso ◽  
...  

2015 ◽  
Vol 30 (10) ◽  
pp. 1371-1381 ◽  
Author(s):  
Tanya Simuni ◽  
Chelsea Caspell-Garcia ◽  
Christopher Coffey ◽  
Lama M. Chahine ◽  
Shirley Lasch ◽  
...  

2021 ◽  
Vol 61 (1) ◽  
Author(s):  
Vikas Kumar Tiwari ◽  
Srishti Nanda ◽  
Suvercha Arya ◽  
Uma Kumar ◽  
Ratna Sharma ◽  
...  

Abstract Background Fibromyalgia is a chronic pain disorder characterized by widespread musculoskeletal symptoms, primarily attributed to sensitization of somatosensory system carrying pain. Few reports have investigated the impact of fibromyalgia symptoms on cognition, corticomotor excitability, sleepiness, and the sleep quality — all of which can deteriorate the quality of life in fibromyalgia. However, the existing reports are underpowered and have conflicting directions of findings, limiting their generalizability. Therefore, the present study was designed to compare measures of cognition, corticomotor excitability, sleepiness, and sleep quality using standardized instruments in the recruited patients of fibromyalgia with pain-free controls. Methods Diagnosed cases of fibromyalgia were recruited from the Rheumatology department for the cross-sectional, case-control study. Cognition (Mini-Mental State Examination, Stroop color-word task), corticomotor excitability (Resting motor threshold, Motor evoked potential amplitude), daytime sleepiness (Epworth sleepiness scale), and sleep quality (Pittsburgh sleep quality index) were studied according to the standard procedure. Results Thirty-four patients of fibromyalgia and 30 pain-free controls were recruited for the study. Patients of fibromyalgia showed decreased cognitive scores (p = 0.05), lowered accuracy in Stroop color-word task (for color: 0.02, for word: 0.01), and prolonged reaction time (< 0.01, < 0.01). Excessive daytime sleepiness in patients were found (< 0.01) and worsened sleep quality (< 0.01) were found. Parameters of corticomotor excitability were comparable between patients of fibromyalgia and pain-free controls. Conclusions Patients of fibromyalgia made more errors, had significantly increased reaction time for cognitive tasks, marked daytime sleepiness, and impaired quality of sleep. Future treatment strategies may include cognitive deficits and sleep disturbances as an integral part of fibromyalgia management.


2020 ◽  
Vol 21 (1) ◽  
pp. 123-130
Author(s):  
Enrique Martínez-Pías ◽  
David García-Azorín ◽  
Ane Minguez-Olaondo ◽  
Javier Trigo ◽  
Álvaro Sierra ◽  
...  

2008 ◽  
Vol 29 (4) ◽  
pp. 237-240 ◽  
Author(s):  
Barbara Mostacci ◽  
Monica Ferlisi ◽  
Alessandro Baldi Antognini ◽  
Claudia Sama ◽  
Cristina Morelli ◽  
...  

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