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Yıl:2020; Cilt: 7; Sayı: 2>> Özet
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Türk Uyku Tıbbı Dergisi; 2020;7(2):57-64
Migren ve Gerilim Tipi Baş Ağrısına Eşlik Eden Uyku Hastalıkları
M Hamamcı, S Dumanlıdağ
Bozok Üniversitesi,Yozgat
Amaç: Bu çalışma epizodik migren ve epizodik gerilim tipi baş ağrısı olan hastalıklarda uyku bozukluklarının araştırılması amaçlandı. Gereç ve Yöntem: Bu çalışma, 15 Haziran 2019 ve 15 Aralık 2019 tarihleri arasında, iki farklı üçüncü basamak hastanenin nöroloji kliniklerinde gerçekleştirildi. Çalışmaya 100 sağlıklı gönüllü, 102 epizodik migren hastası, 105 epizodik gerilim tipi baş ağrısı olan hasta dahil edildi. Tüm katılımcılara Beck Depresyon ölçeği (BDÖ), Beck Anksiyete ölçeği (BAÖ), Epworth Uykululuk ölçeği (EUÖ), Berlin Uyku anketi, Uykusuzluk Şiddeti indeksi (UŞİ), Pittsburgh Kalite Uyku indeksi (PKUİ) uygulandı. Huzursuz Bacaklar sendromu (HBS) varlığı ve şiddeti Uluslararası HBS Çalışma Grubu kriterlerine göre değerlendirildi. Bulgular: Migren ve gerilim tipi baş ağrısı hastalarının BDÖ, BAÖ, EUÖ, UŞİ ve toplam PKUİ puanları kontrol grubuna göre anlamlı yüksekti. Berlin anketine göre sağlıklıların %8’i, migren hastalarının %20,6’sı, gerilim tipi baş ağrısı hastalarının %11,4’ü yüksek Uyku Apne sendromu riskine sahipti. Sağlıklı gönüllerin %3’ü, migren hastalarının %9,8’i, gerilim tipi baş ağrısı hastalarının %6,7’si huzursuz bacak tanı kriterlerini karşıladı. Migren hastalarının öznel uyku kalitesi, uyku bozukluğu, gündüz işlev bozukluğu puanları gerilim tipi baş ağrısı hastalarından, gerilim tipi baş ağrısı hastalarının uyku latansı ve uyku etkinliği puanları migren hastalarından anlamlı yüksekti. Sonuç: Bu sonuçlar migren ve gerilim tipi baş ağrısının uyku üzerinde farklı etkiler oluşturduğunu gösterdi. Her baş ağrısı tipi için uyku bozuklukları geniş bir yelpazede incelemeli ve her bir uyku bozukluğu ayrı ayrı sorgulanmalıdır.
Sleep Disorders Accompanying Migraine and Tension Headaches
Objective: This study aimed to investigate sleep disorders in patients with episodic migraines and tension-type headaches. Materials and Methods: This study was conducted between June 15, 2019, and December 15, 2019, at the neurology clinics of two different tertiary hospitals. The study included 100 healthy volunteers, 102 patients with episodic migraine, and 105 patients with episodic tensiontype headache. All participants were assessed using Beck Depression inventory (BDI), Beck Anxiety inventory (BAI), Epworth Sleepiness scale (ESS), Berlin Questionnaire, Insomnia Severity index (ISI), and Pittsburgh Sleep Quality index (PSQI). The presence and severity of Restless Legs syndrome (RLS) were evaluated according to the International RLS Study Group criteria. Results: Patients with migraine and tension headaches had significantly higher BDI, BAI, ESS, ISI, and total PSQI scores compared with the control group. According to the Berlin Questionnaire, 8% of the healthy controls, 20.6% of patients with migraine, and 11.4% of patients with tension headache were at high risk for Sleep Apnea syndrome. RLS criteria were met by 3% of healthy controls, 9.8% of patients with migraine, and 6.7% of patients with tension headache. Subjective sleep quality, sleep disturbance, and daytime dysfunction scores were significantly higher in patients with migraine compared with those with tension headache. By contrast, sleep latency and sleep efficiency scores were significantly higher in patients with tension headache compared with those with migraine. Conclusion: The study results indicated that migraines and tensiontype headaches have varying effects on sleep. Hence, for each of the headache types, sleep disorders should be examined under a broad spectrum, and each sleep disorder should be investigated separately

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