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J Korean Sleep Res Soc > Volume 0(0); > Article
CASE REPORT
Improvement of Nocturnal Cluster Headache after Continuous Positive Airway Pressure Therapy in a Patient with Severe Obstructive Sleep Apnea
Min-Jun Song , Soo-Jin Cho , Hee-Jin Im
Department of Neurology, Dongtan Sacred Heart Hospital, Hallym University Medical Center, Hwaseong, Korea
Corresponding Author: Hee-Jin Im ,Tel: +82-31-8680-3185, Fax: +82-31-8680-2317, Email: coolere@naver.com
Received: November 11, 2020   Revised: December 8, 2020   Accepted: December 24, 2020   Published online: April 9, 2021
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ABSTRACT
The relationship between cluster headache (CH) and sleep has been demonstrated. A 60-year-old man who suffered from refractory CH that occurred exclusively at night, complained of sleep fragmentation. Polysomnography revealed severe obstructive apnea with deep desaturation and sleep fragmentation every 2 hours due to cyclic pain. Three months of successful continuous positive airway therapy dramatically improved both headache intensity and frequency, as well as sleep apnea. This case suggests the significance of comorbid OSA when managing patients with CH or primary headaches with nocturnal tendencies.
Keywords: Cluster headache | Obstructive sleep apnea | Continuous positive airway pressure
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