Transcript Slide 1

THE HEADACHE AND SLEEP DIARY
H082
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Mario F P Peres, MD, PhD
Instituto Israelita de Ensino e Pesquisa Albert Einstein.
São Paulo Headache Center
Background. Headaches and sleep disorders are related in several ways. Sleep disorders can
cause headaches, and headaches can cause sleep disruption. Headaches and sleep disorders
may be part of the same syndrome or have a common secondary cause. Collecting prospective
data is critical for the management of both disorders. A combined headache and sleep diary
would ideally be the best tool for those patients. Objectives. To propose a headache and sleep
diary for clinical practice and reasearch.
Methods/Results. Sleep variables were inserted into a headache diary model. Columns
containing date, hours (24 columns, one for each hour), medication, total sleep time, time to
sleep onset, are crossed with rows (one for each day). Patients are instructed to fill out the hour
column with a x to xxxxx symbol, according to the headache intensity. Time patient goes to
bed, fall asleep, and awakes are marked in the specific hour column (00:00hs format).
Cluster Headache
Migraine
Hypnic Headache
Chronic migraine +
Insomnia
Normal sleep + Headache free
Conclusion. The headache and sleep diary is an excellent tool for following up patients with headache and sleep
disorders. It can also be used for clinical trials looking at the effect of sleep medications in headaches, and
headache preventives in sleep variables.