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Clinical presentation, diagnosis and polysomnographic findings in children with migraine referred to sleep clinics. | LitMetric

AI Article Synopsis

  • - The study investigates the relationship between migraines and sleep issues in children, analyzing clinical data from a sleep clinic over a decade and assessing conditions and sleep patterns in children with migraines compared to a control group.
  • - Among the 185 children with migraines, common sleep symptoms included snoring, trouble falling or staying asleep, and excessive daytime sleepiness, with 40% diagnosed with obstructive sleep apnea and 27% with insomnia.
  • - The findings showed that children with migraines had abnormal sleep architecture, characterized by increased NREM 2 sleep and decreased NREM 3 sleep compared to the control group, highlighting the impact of migraines on sleep quality.

Article Abstract

Objective: An association between migraine and sleep disturbances in children was reported, yet limited clinical data exist. The current study addresses the clinical presentation, polysomnographic (PSG) characteristics, and comorbid sleep diagnoses of children with migraine referred to the sleep clinic.

Patients: A retrospective review was performed of headache center patients evaluated by the sleep center between 2007 and 2017. Children ≤18 years old, diagnosed with migraine headache, and who had PSG within one year of evaluation in the headache clinic, were included. PSG findings, as well as demographics, were compared to a group of controls aged 5-14 years-old.

Results: In sum, 185 children with a diagnosis of migraine were included: 39% males, 75% Caucasian, mean age 13.5 ± 3.4, and 57% obese. Additionally, 180 children were included in the control group. The common presenting sleep symptoms were snoring (66%), sleep onset and sleep maintenance problems (25%), and excessive daytime sleepiness (20%). For the sleep diagnosis, 40% had obstructive sleep apnea (OSA), 27% had insomnia, 15% had periodic limb movement disorder (PLMD), and 6% had a central disorder of hypersomnolence. In terms of sleep architecture, children with migraine had significantly higher NREM 2 (p < 0.001) and a lower percentage of NREM3 (p < 0.001) compared to controls after adjustment for demographics and the presence of sleep-disordered breathing.

Conclusions: Children referred to the sleep clinic who also had migraine, experience various types of sleep complaints. OSA, insomnia, and PLMD were relatively common in this population. Changes in sleep architecture, specifically increased NREM2 and decreased slow wave sleep compared to the control group, were also observed.

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Source
http://dx.doi.org/10.1016/j.sleep.2019.04.023DOI Listing

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