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Sleep disturbances in 'migraine without aura'--a questionnaire based study.
N Karthik1, G B Kulkarni, A B Taly
1Department of Neurology, National Institute of Mental health and Neurosciences, Bangalore, India.
Journal of the Neurological Sciences
|August 11, 2012
Summary
Patients with migraine without aura experience significantly more sleep abnormalities, including poor sleep quality and excessive daytime sleepiness, compared to healthy individuals. These findings highlight a strong link between migraine and sleep disturbances.
Area of Science:
- Neurology
- Sleep Medicine
- Clinical Research
Background:
- Migraine is a common neurological disorder.
- Sleep disturbances are frequently reported in migraine patients.
- Understanding the specific sleep abnormalities in migraine without aura is crucial for effective management.
Purpose of the Study:
- To compare sleep abnormalities in patients with migraine without aura versus a matched control group.
- To identify specific sleep issues prevalent in migraine patients.
Main Methods:
- Prospective recruitment of 90 migraine without aura patients and 90 healthy controls.
- Assessment of sleep quality (PSQI), daytime sleepiness (ESS), and general sleep abnormalities (NCSDQ).
- Evaluation of migraine disability using the MIDAS scale.
Main Results:
- 66.7% of migraine patients had poor sleep quality (PSQI ≥6) vs. 7.8% of controls (p=0.001).
- 14.4% of migraine patients had excessive daytime sleepiness (ESS ≥11) vs. 1.1% of controls (p=0.001).
- Migraine patients showed higher prevalence of non-refreshing sleep, nocturnal sweating, dry mouth, sleep paralysis, RLS, and sedative use.
Conclusions:
- Migraine without aura is associated with a significantly higher prevalence of various sleep abnormalities.
- These sleep disturbances may be multifactorial in origin.
- Further research is needed to explore the underlying mechanisms and therapeutic implications.
