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that affect the elderly, with an average age of onset at 63 ± 11 years. They are moderate, throbbing, bilateral or unilateral headaches that wake the sufferer from sleep once or multiple times a night. They typically begin a few hours after sleep begins and can last from 15–180 min. There is
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For diagnosis of hypnic headache syndrome, headaches should occur at least 15 times per month for at least one month. Included in the differential diagnosis of a new onset nighttime headaches in the elderly is drug withdrawal,
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or methysergide may be tried. Two patients have also responded to flunarizine 5 mg. It has also been shown that 1–2 cups of coffee or 100–200 mg of caffeine before bed can prevent hypnic headaches.
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normally no nausea, photophobia, phonophobia or autonomic symptoms associated with the headache. They commonly occur at the same time every night possibly linking the headaches with circadian rhythm, but
211:, cluster headaches, chronic paroxysmal hemicrania, headaches due to bruxism, and hypnic headache. All other causes must be ruled out before the diagnosis of hypnic headache can be made.
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Silva-Néto, Raimundo
Pereira; Santos, Patrick Emanuell Mesquita Sousa; Peres, Mário Fernando Prieto (June 2019). "Hypnic headache: A review of 348 cases published from 1988 to 2018".
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200–600 mg at bedtime is an effective treatment for most patients but for those that can not tolerate lithium, Verapamil,
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Evers S, Goadsby PJ (March 2003). "Hypnic headache: clinical features, pathophysiology, and treatment".
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Dalessio, Donald J.; Wolff, Harold G.; Silberstein, Stephen D.; Lipton, Richard B. (2001).
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has recently revealed that the onset of hypnic headaches may be associated with REM sleep.
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Gould JD, Silberstein SD (December 1997). "Unilateral hypnic headache: a case study".
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A recent review of 348 cases available in the literature has been recently published.
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371:"Headache secondary to sleep-related bruxism: A case with polysomnographic findings"
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Goadsby, Peter J.; Silberstein, Stephen D.; Lipton, Richard B. (2002).
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369:Das, S; Gupta, R; Dhyani, M; Goel, D (2015).
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375:Journal of Neurosciences in Rural Practice
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106:Learn how and when to remove this message
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420:Evars, Stefan; Goadsby, Peter (2005).
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533:. Oxford : Oxford University Press.
531:Wolff's headache and other head pain
465:Journal of the Neurological Sciences
44:adding citations to reliable sources
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442:10.1111/j.1474-7766.2005.00301.x
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31:needs additional citations for
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873:External compression headache
759:New daily persistent headache
721:Chronic paroxysmal hemicrania
344:Headache in clinical practice
818:Post-dural-puncture headache
841:Medication overuse headache
429:Practical Neurology. Review
201:communicating hydrocephalus
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507:"ICHD-II-Hypnic Headaches"
477:10.1016/j.jns.2019.04.028
422:"Review: Hypnic headache"
348:. London: Martin Dunitz.
388:10.4103/0976-3147.150293
195:, oxygen desaturation,
888:Postherpetic neuralgia
878:Cold-stimulus headache
696:Mixed tension migraine
311:10.1212/wnl.49.6.1749
893:Tolosa–Hunt syndrome
863:Trigeminal neuralgia
749:Thunderclap headache
207:, vascular lesions,
40:improve this article
868:Occipital neuralgia
744:Hemicrania continua
666:Familial hemiplegic
169:are benign primary
511:ISH Classification
189:temporal arteritis
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540:978-0-19-513518-3
355:978-1-901865-88-2
220:Lithium carbonate
205:subdural hematoma
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118:Medical condition
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55:"Hypnic headache"
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673:Retinal migraine
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513:. Archived from
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197:pheochromocytoma
167:Hypnic headaches
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176:polysomnography
144:2 days - 1 week
124:Hypnic headache
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558:Classification
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517:on 2015-09-26
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51:Find sources:
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29:This article
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519:. Retrieved
515:the original
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446:. Retrieved
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262:(6): 905–9.
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224:indomethacin
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96:January 2019
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38:Please help
33:verification
30:
914:Orthostatic
471:: 103–109.
193:Sleep apnea
909:Eye strain
795:Migralepsy
521:2008-07-01
448:12 January
435:: 144–49.
238:References
215:Treatments
66:newspapers
940:Headaches
778:Secondary
493:128363038
299:Neurology
256:Neurology
228:melatonin
209:migraines
182:Diagnosis
171:headaches
149:Frequency
135:Neurology
130:Specialty
934:Category
919:Vascular
836:Hangover
661:Migraine
636:Headache
579:: G44.81
485:31075680
407:25883492
327:31682748
284:20201772
276:12654950
141:Duration
855:ICHD 13
716:Cluster
691:Tension
644:Primary
398:4387823
319:9409389
80:scholar
828:ICHD 8
805:ICHD 7
787:ICHD 5
736:ICHD 4
708:ICHD 3
683:ICHD 2
653:ICHD 1
593:339.81
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157:Deaths
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902:Other
726:SUNCT
489:S2CID
425:(PDF)
323:S2CID
280:S2CID
87:JSTOR
73:books
588:9-CM
535:ISBN
481:PMID
450:2018
403:PMID
350:ISBN
315:PMID
272:PMID
59:news
584:ICD
572:ICD
473:doi
469:401
437:doi
393:PMC
383:doi
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264:doi
152:20%
42:by
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246:^
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