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Original Article
- Cluster Headache Characteristics and the Severity of Obstructive Sleep Apnea: Insights from Polysomnography Analysis
- Yooha Hong, Mi-Kyoung Kang, Min Kyung Chu, Soo-Jin Cho, Hee-Jin Im
- Headache Pain Res. 2024;25(1):63-71. Published online April 16, 2024
- DOI: https://doi.org/10.62087/hpr.2024.0001
- 288 View
- 8 Download
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Abstract
PDF - Purpose: Cluster headache (CH) is characterized by circadian rhythmicity of the attacks, and it is known to respond exceptionally well to oxygen therapy. Furthermore, obstructive sleep apnea (OSA) frequently co-occurs with CH, and both conditions may be parallel outcomes of hypothalamic dysfunction rather than being causally related. The aim of this study was to analyze the association between CH characteristics and polysomnographic factors stratified by the severity of OSA in patients diagnosed with CH and OSA.
Methods
We retrospectively analyzed the data of OSA patients with CH who were enrolled in the Korean Cluster Headache Registry and underwent polysomnography due to clinical suspicion of OSA. Basic demographic data, headache-related parameters, and polysomnographic parameters were analyzed according to the severity of OSA (apnea-hypopnea index: <15 or ≥15 per hour).
Results
Twelve CH patients with OSA were evaluated. The onset age of CH was higher (38.5 years vs. 19.0 years, p=0.010), and the maximal duration of cluster bouts was longer (156.5 days vs. 47.0 days, p=0.037) in the moderate-to-severe OSA group than in the mild OSA group. Unlike other polysomnographic parameters, the apnea-hypopnea index and respiratory arousal index during rapid eye movement (REM) sleep were comparable across different OSA severity levels.
Conclusion
The onset age and duration of cluster bouts were associated with the severity of OSA in CH patients. Additionally, the relatively high susceptibility to hypoxia during REM sleep in patients with mild OSA implies that interventions may be potentially advantageous, even in CH patients with mild OSA.
Review Article
- Diagnosis and Treatment of Hemicrania Continua, Paroxysmal Hemicrania, Short-lasting Unilateral Neuralgiform Headache Attacks
- Sang-Hwa Lee, Mi-Kyoung Kang, Soo-Jin Cho
- Korean J Headache. 2023;24(2):39-44. Published online December 31, 2023
- 212 View
- 17 Download
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Abstract
PDF
- Chronic paroxysmal hemicrania, short-lasting unilateral neuralgiform headache attacks, and hemicrania continua are rare headache disorders characterized by severe unilateral headache accompanied by ipsilateral autonomic symptoms. Accurate diagnosis and specific treatment approaches for these conditions are crucial for appropriate management. This article covers the clinical features, diagnostic criteria, and treatment strategies of each disorder, aiming to differentiate them from other major headaches and provide targeted treatment strategies to improve patient outcomes.
Reiview Article
- Sleep Disorders in Headache Patients
- Hye Jeong Lee, Hee-Jin Im, Soo-Jin Cho, Min Kyung Chu
- Korean J Headache. 2023;24(1):1-10. Published online June 30, 2023
- 217 View
- 29 Download
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Abstract
PDF
- Headache disorders and sleep problems are common conditions with a high prevalence in the general population, and impose a considerable socio-economic burden. They show a close association with headache disorders through various relationship. The prevalence of sleep problems is elevated in individuals with headache, especially for migraine. In most headache disorders, sleep problems are accompanied by the deterioration of clinical characteristics of headache disorders. The sharing brain structures and neurotransmitters involved in the pathogenesis of headache disorders and sleep disorders may be an explanation for the close relationship between two disorders. In this article, we briefly review the relationship of headache disorders with sleep disorders including insomnia, sleep-related breathing disorders, central disorders of hypersomnolence, circadian rhythm sleep-wake disorders, parasomnias, and sleep related movement disorders.
Case Report
- Paradoxical Postural Headache in Spontaneous Intracranial Hypotension with Infratentorial Superficial Siderosis
- Dae Woong Bae, Min Seung Kim, Soo-Jin Cho
- Korean J Headache. 2023;24(1):20-23. Published online June 30, 2023
- 66 View
- 4 Download
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Abstract
PDF
- Spontaneous intracranial hypotension is characterized by orthostatic headache caused by cerebrospinal fluid (CSF) leakage. However, clinical presentation of SIH is variable, and normal or high intracranial pressure in CSF study is not uncommon. Infratentorial superficial siderosis (ISS) shares similar pathomechanism with SIH, as developed after chronic CSF leakage, whilst several years of latency after SIH onset. Here, we report a 47-year-old male patient who had experienced prominent orthostatic headache twenty years before, and presented reverse-orthostatic headache in this time, accompanying with radiological features of SIH and ISS in brain magnetic resonance imaging (MRI). CSF leakage was confirmed by spinal MRI and MR myelography, and his headache was aggravated after epidural blood patch.
- Update on Treatment of Giant Cell Arteritis
- Mi-Kyoung Kang, Yoo Hwan Kim, Kyeong Min Son, Soo-Jin Cho , Jiyoung Kim, Jong-Hee Sohn, On behalf of the Hallym Headache Research Society
- Published online December 31, 2022
- 172 View
- 62 Download
- A Intractable Headache Caused by Increased Intracranial Pressure after Surgical Resection of the Spinal Arachnoid Cyst
- Mi-Kyoung Kang, Han Beet Kim, Il Choi, Soo-Jin Cho
- Published online December 31, 2022
- 111 View
- 22 Download
- Giant Cell Arteritis Diagnosed by HALO Score of Ultrasonography and Fat-saturated Contrast Enhanced Vessel Wall Magnetic Resonance Imaging
- Han-Beet Kim, Mi-Kyoung Kang, Min-Jun Song, Ki-Won Nam, Sang Won Jo, Ki-Han Kwon, Soo-Jin Cho
- Published online December 31, 2022
- 134 View
- 28 Download
- Diagnostic Delay in Spontaneous Intracranial Hypotension
- Jiyoung Kim, Younjin Park, Jong-Hee Sohn, Sang-Hwa Lee, Eun Kyung Khil, Hee Jin Im, Min Jun Song, Myoung-Jin Cha, Soo-Jin Cho
- Published online June 30, 2022
- 285 View
- 110 Download
- Comorbid Medical Conditions in Patients with Medication Overuse Headache: Multicenter Prospective Medication Overuse Headache Registry Analysis
- Yooha Hong, Soo-Jin Cho, Min Kyung Chu, Sun-Young Oh, Heui-Soo Moon, Tae-Jin Song, Mi Ji Lee, Jin-Ju Kang, Hong-Kyun Park
- Published online December 31, 2021
- 211 View
- 50 Download
- Two Case Report of Melatonin Add-on Therapy for Cluster Headache
- Byung-Su Kim, Myoung-Jin Cha, Soo-Jin Cho
- Published online December 31, 2021
- 117 View
- 39 Download
- Prevalence and Characteristics of Neck Pain in Patients with Migraine
- Hee Jin Im, Jong Hee Sohn, Soo-Jin Cho
- Published online June 30, 2021
- 205 View
- 88 Download
- Headache Attributed to Spontaneous Intracranial Hypotension Confirmed from Repetitive Epidural Blood Patch and Serial Radiologic Evaluation in a Patient Presenting with Chronic Daily Headache
- Heejung Mo, Min Jun Song, Sang Won Jo, Jung-Ah Choi, Soo-Jin Cho
- Published online June 30, 2021
- 288 View
- 93 Download
- Update of Medication-overuse Headache and Medication-overuse
- Soo-Jin Cho
- Published online December 31, 2020
- 194 View
- 105 Download
- Mindfulness-Based Cognitive Therapy for Patients with Migraine
- Sun Hwa Lee, Mi Hyun Kim, Jong-Hee Sohn, Soo-Jin Cho
- Published online December 31, 2019
- 218 View
- 82 Download
- Stanford Type A Aortic Dissection Presenting with Bitemporal Headache
- Yoo-Ha Hong, Hye Won Lee, Sang Won Choi, Myeong Jin Son, Min Uk Jang, Jooyong Kim, Ki-Han Kwon, Soo-Jin Cho, Jun Lee
- Published online December 31, 2018
- 185 View
- 36 Download
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