Hipnička glavobolja: Što kornjača ima s tim?

Professional paper - Professional paper

• Title (english): Hypnic headache: What does the turtle have to do with it?
• Author: Denis Čerimagić https://orcid.org/0000-0003-0743-2618
• Author: Ervina Bilić
• Author's institution: University of Zagreb; School of Medicine; (Department of Neurology)
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Neurology

Abstract (croatian)

Hipničke glavobolje (glavobolje koje se javljaju tijekom spavanja) prema Međunarodnoj klasifikaciji glavobolja – 3. izdanje ubrajaju se u primarne glavobolje. Za razliku od ostalih primarnih glavobolja poput migrene, tenzijske i trigeminalne autonomne glavobolje, u kliničkoj praksi često su neprepoznate ili je postavljena pogrešna dijagnoza. Kornjačina glavobolja se javlja nakon jutarnjeg buđenja te ponovnog usnivanja i buđenja. Javlja se kod osoba koje običavaju tijekom spavanja prekriti glavu pokrivačem (odatle potječe analogija s kornjačinim uvlačenjem i izvlačenjem glave ispod oklopa). Iako je u literaturi opisana prije hipničke glavobolje i smatra se njezinim rijetkim podtipom, do danas nije uvrštena u Međunarodnu klasifikaciju glavobolja. U ovom radu prikazujemo pacijenta s dugogodišnjom hipničkom i epizodičnom kornjačinom glavoboljom. Brojne diferencijalnodijagnostičke dileme s kojima smo se susretali zahtijevale su dodatnu kliničku i neuroradiološku obradu. Utvrđivanje vrste glavobolje temelji se na detaljnoj anamnezi i striktnoj primjeni dijagnostičkih kriterija Međunarodne klasifikacije glavobolja. Važnost ispravne dijagnoze značajna je i s terapijskog aspekta jer se farmakoterapija i preventivno liječenje hipničke i kornjačine glavobolje razlikuje od terapije ostalih primarnih glavobolja. S obzirom na to da su u Međunarodnu klasifikaciju glavobolja uvrštena i izuzetno rijetka stanja poput numularne glavobolje i sindroma pekućih usta, mišljenja smo da kornjačina glavobolja zaslužuje uvrštenje u istu.

Abstract (english)

According to the International Classification of Headache Disorders, 3rd edition, hypnic headaches (headaches that occur during sleep) are classified as primary headaches. Unlike other primary headaches, such as migraine, tension, and trigeminal autonomic headaches, they are often unrecognized or misdiagnosed in clinical practice. A turtle headache occurs when you wake up in the morning, fall asleep, and then wake up again. It occurs in people who tend to cover their heads with a blanket during sleep (this is where the analogy with a turtle pulling its head in and out from under its shell comes from). Although it was described in the literature before hypnic headache and is considered its rare subtype, it has not yet been included in the International Classification of Headache Disorders. In this paper, we present a patient with long-term hypnic and turtle headaches. We encountered numerous differential-diagnostic dilemmas that require additional clinical and neuroradiological investigations. Determining the type of headache is based on a detailed history and strict application of the diagnostic criteria of the International Classification of Headache Disorders. The importance of a correct diagnosis is also significant from a therapeutic point of view because the pharmacotherapy and preventive treatment of hypnic and turtle headaches differ from the therapy of other primary headaches. The International Classification of Headache Disorders contains extremely unusual conditions such as nummular headaches and burning mouth syndrome, so we believe that the turtle’s headache deserves to be included in this classification.

• Keywords (croatian): primarne glavobolje – dijagnoza, farmakoterapija; diferencijalna dijagnoza
• Keywords (english): headache disorders, primary – diagnosis, drug therapy; diagnosis, differential
• Language: croatian
• Language: english
• Publication type: Professional paper - Professional paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Liječnički vjesnik
• Numbering: vol. 146, no. 9-10, pp. 340-345
• p-ISSN: 0024-3477
• e-ISSN: 1849-2177
• DOI: https://doi.org/10.26800/LV-146-9-10-3
• URN:NBN: urn:nbn:hr:105:776298
• Publication: 2024
• Document URL: https://hrcak.srce.hr/322404
• Type of resource: Text
• Access conditions: Open access
• Created on: 2024-12-17 10:20:54