Current Understanding of the Chronobiology of Cluster Headache and the Role of Sleep in Its Management

Mads Barloese1,2 1Department of Clinical Physiology and Nuclear Medicine, Center for Functional and Diagnostic Imaging, Hvidovre Hospital, Hvidovre, Denmark; 2Department of Neurology, Danish Headache Center, Rigshospitalet-Glostrup, Glostrup, DenmarkCorrespondence: Mads BarloeseFunktions- Og Billedd...

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Autor principal:	Barloese M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	cluster headache chronobiology sleep chronotherapy Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/99b23f0eca6843c28ddc214776df68ea
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spelling	oai:doaj.org-article:99b23f0eca6843c28ddc214776df68ea2021-12-02T12:14:52ZCurrent Understanding of the Chronobiology of Cluster Headache and the Role of Sleep in Its Management1179-1608https://doaj.org/article/99b23f0eca6843c28ddc214776df68ea2021-02-01T00:00:00Zhttps://www.dovepress.com/current-understanding-of-the-chronobiology-of-cluster-headache-and-the-peer-reviewed-article-NSShttps://doaj.org/toc/1179-1608Mads Barloese1,2 1Department of Clinical Physiology and Nuclear Medicine, Center for Functional and Diagnostic Imaging, Hvidovre Hospital, Hvidovre, Denmark; 2Department of Neurology, Danish Headache Center, Rigshospitalet-Glostrup, Glostrup, DenmarkCorrespondence: Mads BarloeseFunktions- Og Billeddiagnostisk Enhed, Hvidovre Hospital, Kettegaard Alle 30, Hvidovre, DK-2650, DenmarkEmail mbar0087@regionh.dkAbstract: Cluster headache is uniquely rhythmic in its occurrence both diurnally and annually. This has implications for the clinical approach to the patient but also for our understanding of the role of central structures in its pathological basis. Many intrinsic and extrinsic factors seem to influence CH rhythmicity, including genetics. The proclivity for attacks to occur at night and the possible association with particular sleep phenomena, including sleep apnea, have motivated a number of studies which has improved our understanding but many questions remain unanswered. The sleep-headache interaction seems to be bidirectional and possibly both direct and indirect. The latter could involve more disperse networks of homeostatic regulation, which may better encompass recent observations. Treatment of the headache patient with concurrent sleep problems can be particularly challenging, especially considering side-effects and interactions of commonly used medications. While current treatment guidelines do not incorporate chronotherapeutic thinking, some evidence may suggest that application of such principles on an individual level may be beneficial.Keywords: cluster headache, chronobiology, sleep, chronotherapyBarloese MDove Medical Pressarticlecluster headachechronobiologysleepchronotherapyPsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 13, Pp 153-162 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cluster headache chronobiology sleep chronotherapy Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	cluster headache chronobiology sleep chronotherapy Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Barloese M Current Understanding of the Chronobiology of Cluster Headache and the Role of Sleep in Its Management
description	Mads Barloese1,2 1Department of Clinical Physiology and Nuclear Medicine, Center for Functional and Diagnostic Imaging, Hvidovre Hospital, Hvidovre, Denmark; 2Department of Neurology, Danish Headache Center, Rigshospitalet-Glostrup, Glostrup, DenmarkCorrespondence: Mads BarloeseFunktions- Og Billeddiagnostisk Enhed, Hvidovre Hospital, Kettegaard Alle 30, Hvidovre, DK-2650, DenmarkEmail mbar0087@regionh.dkAbstract: Cluster headache is uniquely rhythmic in its occurrence both diurnally and annually. This has implications for the clinical approach to the patient but also for our understanding of the role of central structures in its pathological basis. Many intrinsic and extrinsic factors seem to influence CH rhythmicity, including genetics. The proclivity for attacks to occur at night and the possible association with particular sleep phenomena, including sleep apnea, have motivated a number of studies which has improved our understanding but many questions remain unanswered. The sleep-headache interaction seems to be bidirectional and possibly both direct and indirect. The latter could involve more disperse networks of homeostatic regulation, which may better encompass recent observations. Treatment of the headache patient with concurrent sleep problems can be particularly challenging, especially considering side-effects and interactions of commonly used medications. While current treatment guidelines do not incorporate chronotherapeutic thinking, some evidence may suggest that application of such principles on an individual level may be beneficial.Keywords: cluster headache, chronobiology, sleep, chronotherapy
format	article
author	Barloese M
author_facet	Barloese M
author_sort	Barloese M
title	Current Understanding of the Chronobiology of Cluster Headache and the Role of Sleep in Its Management
title_short	Current Understanding of the Chronobiology of Cluster Headache and the Role of Sleep in Its Management
title_full	Current Understanding of the Chronobiology of Cluster Headache and the Role of Sleep in Its Management
title_fullStr	Current Understanding of the Chronobiology of Cluster Headache and the Role of Sleep in Its Management
title_full_unstemmed	Current Understanding of the Chronobiology of Cluster Headache and the Role of Sleep in Its Management
title_sort	current understanding of the chronobiology of cluster headache and the role of sleep in its management
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/99b23f0eca6843c28ddc214776df68ea
work_keys_str_mv	AT barloesem currentunderstandingofthechronobiologyofclusterheadacheandtheroleofsleepinitsmanagement
_version_	1718394589813932032

Current Understanding of the Chronobiology of Cluster Headache and the Role of Sleep in Its Management

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