Assuntos
Síndrome de Guillain-Barré/etiologia , Complicações Pós-Operatórias/etiologia , Vertebroplastia , Acidentes por Quedas , Artrite Reumatoide/complicações , Artrite Reumatoide/tratamento farmacológico , Feminino , Síndrome de Guillain-Barré/diagnóstico , Humanos , Hospedeiro Imunocomprometido , Imunossupressores/efeitos adversos , Imunossupressores/uso terapêutico , Isoxazóis/efeitos adversos , Isoxazóis/uso terapêutico , Leflunomida , Pessoa de Meia-Idade , Osteoporose/complicações , Complicações Pós-Operatórias/imunologia , Prednisona/efeitos adversos , Prednisona/uso terapêutico , Fraturas da Coluna Vertebral/cirurgia , Vértebras Torácicas/lesões , Vértebras Torácicas/cirurgiaAssuntos
Transtornos de Enxaqueca/fisiopatologia , Vento , Serviço Hospitalar de Emergência/estatística & dados numéricos , Cefaleia/epidemiologia , Hospitais Universitários/estatística & dados numéricos , Humanos , Conceitos Meteorológicos , Transtornos de Enxaqueca/epidemiologia , Transtornos de Enxaqueca/etiologia , Espanha/epidemiologiaRESUMO
BACKGROUND: It has been proposed that desaturation of oxygen during an apnea event is the trigger for cluster headache. Obstructive sleep apnea has been associated with a higher than normal cardiovascular morbidity and mortality. Some obstructive sleep apnea syndrome patients lack the sleep-related, nocturnal decrease, or "dip" in blood pressure, which is seen in normal individuals. OBJECTIVE: The aim of this study is to assess whether this non-dipper pattern is present in cluster headache patients. DESIGN AND METHODS: A total of 30 normotensive cluster headache patients underwent an ambulatory blood pressure monitoring. "Non dippers" were defined as patients with a nighttime mean blood pressure fall <10%. RESULTS: Fifteen cluster headache patients (50%) were non-dippers, a frequency higher than expected. The pattern of nocturnal non-dipping is associated with a higher body mass index. Non-dipper patients displayed higher mean nighttime systolic and diastolic blood pressure. No significant difference was observed in the mean 24-hour and daytime blood pressure. CONCLUSIONS: The high incidence (50%) of non-dipper pattern in both processes, cluster headache and obstructive sleep apnea syndrome, provides support for the hypothesis of a relationship between theses 2 disorders.