What is the role of caffeine in the treatment of hypnic headache?

Updated: Jun 14, 2018
  • Author: Jasvinder Chawla, MD, MBA; Chief Editor: Nicholas Lorenzo, MD, MHA, CPE  more...
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Answer

Answer

Hypnic headache is predominantly seen in the elderly patients. However, younger patients and even children might also suffer from hypnic headache. Headache attacks usually last between 15 and 180 minutes, but some patients report headache attacks up to 10 hours. Almost all patients report motor activity during headache attacks. Cerebral MRI and 24-hour blood pressure monitoring should be performed in the diagnostic workup of these headaches. Other primary headache disorders such as migraine and cluster headache may also be present with sleep-related headache attacks and should be considered first. Caffeine taken as a cup of strong coffee seems to be the best acute and prophylactic treatment option. [12]


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