Sleep-related headaches are important. Primary headaches (migraine, cluster headache, hypnic headache, etc.) can cause pain during sleep and after the sleep period ends. Another important point is morning headaches. If you wake up with a headache in the morning and it takes about 30-60 minutes to get up, reasons that increase intracranial pressure (such as brain tumor, bleeding, arteriovenous malformation) and sleep-related diseases (especially obstructive sleep apnea) should be reviewed.
Hypersomnia:
In those who have a habit of sleeping for long hours, the situation should be evaluated by a sleep specialist. . This may be normal or pathological. The group that is considered normal is called healthy hypersomnia (long sleeper). They sleep approximately 10-12 hours in a 24-hour period. They generally do not have complaints about sleep duration and the time they do not sleep. Onset usually begins in childhood. These patients experience increased daytime sleepiness as a result of their efforts to shorten sleep in order to meet their daily vital obligations. In general, the mistake made in these patients is to try to reduce the total sleep time with some medications. For this reason, it is necessary to distinguish these normal long sleeper patients from those who sleep long due to an underlying medical or psychological condition. Because clinical and treatment approaches differ.
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SUNSET SYNDROME:
It is a condition that can be seen mostly in Alzheimer's disease, other types of dementia and elderly individuals. Symptoms begin with the decrease in daylight (late afternoon-early evening hours) and increase throughout the evening and night, and ease with the return of daylight in the morning. The most important symptom is confusion. The patient is agitated and may shout. Tremors may occur in uncontrolled hands. Physically, the patient is tired. While trying to go to sleep, the restlessness increases even more. Navigating the room begins. They cannot fall asleep. Since they cannot get enough sleep, they are accompanied by daytime sleepiness. Thus, their already problematic cognitive abilities are further impaired. In the sleep structure, the time to fall asleep, the number and duration of waking up during sleep increase, and the restful deep sleep decreases. As for the reason, the most agreed upon view is the disruption of the brain's sleep-wake clock. In addition, factors such as extreme fatigue, hunger or thirst, pain, and depression are also triggering factors. It is very important to recognize this situation because it is possible to treat it with behavioral, environmental and pharmacological approaches.
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