Abstract
AbstractHeadache etiology research has not supported the traditional headache classification system. This paper provides evidence that classic migraine headache and muscle contraction headaches that appear in the morning (depression headaches) may share a common etiology and respond to the same treatment—reducing sleep duration. Three clinical cases with long-standing headaches are presented, one a depression headache patient and two classic migraineurs. All case histories showed a strong relationship between extended sleep duration and headaches, and headaches completely remitted after patients consistently awakened one-half to one hour earlier than their normal rising time. Eight common migraineurs showed no such relationship and failed to respond to sleep manipulations.We conclude that classic migraine and morning onset “muscle contraction” (or depression) headaches may result from serotonergic mechanisms which are triggered by excessive sleep. Common migraines, in contrast, may be related to oral habi...
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