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Titre : HEADACHES AND OBSTRUCTIVE SLEEP APNEA Type de document : thèse Auteurs : OUAMMOU Imane, Auteur Année de publication : 2022 Langues : Français (fre) Mots-clés : Obstructive sleep apnea headaches continuous positive airway
pressure oral appliance therapy (MAD) Obstructive sleep apnea Headaches Continuous positive
airway pressure Oral appliance therapy (MAD مرض انقطاع النفس الانسدادي النومي الصداع ضغط المجرى الھوائي الإیجابي المستمر الأجھزة
الفمویة.Résumé : Obstructive sleep apnea (OSA) is a common disorder characterized by partial or complete obstruction
of the upper airways during sleep causing repeated airflow cessation or a significant decrease in
airflow in the presence of breathing effort (hypopnea and/or apnea), oxygen desaturation, and sleep
disruption. Headaches are frequently reported by patients suffering from OSA and sleep apnea
headache is already defined and classified by the international headache society in the ICHD-3.
However, and due to the wide range of OSA symptoms, headaches are rarely investigated as a
common symptom of obstructive sleep apnea to identify this common sleep disorder that goes
frequently undiagnosed.
This is a retrospective, descriptive and analytical study conducted by the neurophysiology department
of Mohammed V Teaching Military Hospital in Rabat. 34 patients with confirmed OSA were included
and recruited into the study within a period of 24 months (2020-2021). 15 patients had OSA without
headache (group A) and 19 patients had OSA associated with headache (group B).
The prevalence of headaches in OSA patients was 51,8% in our study and our statistics have not
objectified a relationship between OSA and headaches. We found a gender difference between the two
groups with a female predominance in the entire sample (52,9% of females in all patients) but only
significant in group B (78,9 % of females in group B) (p<0,01).
The age, BMI, and AHI were similar between the two groups. 70,6% of patients had nocturia in the
entire sample and depression was seen in group B only (p=0,053). 94,1% of patients received CPAP
therapy, and 2,9% received oral appliance therapy (MAD).
According to our study, OSA seems more frequent in women and is usually associated with
depression. Most patients reported a morning headache that occurs more than 15 days per month with
no associated symptoms; as well as moderate pain and a band-like location. The small size sample
might have influenced the findings as it was the main limitation of this work. A study on a larger
sample is required to confirm our findings.
In our population, both OSA and headache are common health problems, early diagnosis and
treatment can reduce both medical and societal consequences, as well as their costs.Numéro (Thèse ou Mémoire) : M0352022 Président : Abdelkader BELMEKKI Directeur : Ahmed BOURAZZA Juge : Noureddine ERRAMI Juge : Wafa REGRAGUI Juge : Amal SATTE HEADACHES AND OBSTRUCTIVE SLEEP APNEA [thèse] / OUAMMOU Imane, Auteur . - 2022.
Langues : Français (fre)
Mots-clés : Obstructive sleep apnea headaches continuous positive airway
pressure oral appliance therapy (MAD) Obstructive sleep apnea Headaches Continuous positive
airway pressure Oral appliance therapy (MAD مرض انقطاع النفس الانسدادي النومي الصداع ضغط المجرى الھوائي الإیجابي المستمر الأجھزة
الفمویة.Résumé : Obstructive sleep apnea (OSA) is a common disorder characterized by partial or complete obstruction
of the upper airways during sleep causing repeated airflow cessation or a significant decrease in
airflow in the presence of breathing effort (hypopnea and/or apnea), oxygen desaturation, and sleep
disruption. Headaches are frequently reported by patients suffering from OSA and sleep apnea
headache is already defined and classified by the international headache society in the ICHD-3.
However, and due to the wide range of OSA symptoms, headaches are rarely investigated as a
common symptom of obstructive sleep apnea to identify this common sleep disorder that goes
frequently undiagnosed.
This is a retrospective, descriptive and analytical study conducted by the neurophysiology department
of Mohammed V Teaching Military Hospital in Rabat. 34 patients with confirmed OSA were included
and recruited into the study within a period of 24 months (2020-2021). 15 patients had OSA without
headache (group A) and 19 patients had OSA associated with headache (group B).
The prevalence of headaches in OSA patients was 51,8% in our study and our statistics have not
objectified a relationship between OSA and headaches. We found a gender difference between the two
groups with a female predominance in the entire sample (52,9% of females in all patients) but only
significant in group B (78,9 % of females in group B) (p<0,01).
The age, BMI, and AHI were similar between the two groups. 70,6% of patients had nocturia in the
entire sample and depression was seen in group B only (p=0,053). 94,1% of patients received CPAP
therapy, and 2,9% received oral appliance therapy (MAD).
According to our study, OSA seems more frequent in women and is usually associated with
depression. Most patients reported a morning headache that occurs more than 15 days per month with
no associated symptoms; as well as moderate pain and a band-like location. The small size sample
might have influenced the findings as it was the main limitation of this work. A study on a larger
sample is required to confirm our findings.
In our population, both OSA and headache are common health problems, early diagnosis and
treatment can reduce both medical and societal consequences, as well as their costs.Numéro (Thèse ou Mémoire) : M0352022 Président : Abdelkader BELMEKKI Directeur : Ahmed BOURAZZA Juge : Noureddine ERRAMI Juge : Wafa REGRAGUI Juge : Amal SATTE Réservation
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