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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">neurojour</journal-id><journal-title-group><journal-title xml:lang="ru">Неврологический журнал имени Л.О. Бадаляна</journal-title><trans-title-group xml:lang="en"><trans-title>L.O. Badalyan Neurological Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2686-8997</issn><issn pub-type="epub">2712-794X</issn><publisher><publisher-name>ФГАУ «НМИЦ здоровья детей» Минздрава России</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.46563/2686-8997-2020-1-01-35-46</article-id><article-id custom-type="elpub" pub-id-type="custom">neurojour-29</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>LITERATURE REVIEWS</subject></subj-group></article-categories><title-group><article-title>Головные боли, связанные со сном: клинические особенности и подходы к лечению</article-title><trans-title-group xml:lang="en"><trans-title>Sleep-related headaches: clinical features and treatment approaches</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6219-3384</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Артеменко</surname><given-names>Ада Равильевна</given-names></name><name name-style="western" xml:lang="en"><surname>Artemenko</surname><given-names>Ada R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доктор мед. наук, доц. кафедры нервных болезней Института профессионального образования, ведущ. науч. сотр. научно-исследовательского отд. неврологии Научно-технологического парка биомедицины, ФГАО ВО Первый МГМУ им. И.М. Сеченова, 119991, Москва.</p><p>e-mail: aartemenko@gmail.com</p></bio><bio xml:lang="en"><p>DSc., associate professor of the Department of nervous diseases of the Professional education institute, leading researcher of the Department of neurology of the I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, 119991, Russian Federation.</p><p>e-mail: aartemenko@gmail.com</p></bio><email xlink:type="simple">aartemenko@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3726-0730</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шавловская</surname><given-names>О. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Shavlovskaya</surname><given-names>Olga A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1570-5009</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Осипова</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Osipova</surname><given-names>Vera V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3564-6798</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ковров</surname><given-names>Г. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kovrov</surname><given-names>Gennadiy V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1642-0267</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гасанов</surname><given-names>Р. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Gasanov</surname><given-names>Rovshan L.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>I.M. Sechenov First Moscow State Medical University (Sechenov University)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ООО «Университетская клиника головной боли»; ГБУЗ «Научно-практический психоневрологический центр им. З.П. Соловьева» ДЗМ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>University Headache Clinic; Z.P. Solovyov Moscow Center of Psychoneurology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Клинико-диагностический центр «МЕДСИ»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>MEDSI Clinical and Diagnostic Center</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Азербайджанский государственный институт усовершенствования врачей им. А. Алиева Минздрава Азербайджана</institution><country>Россия</country></aff><aff xml:lang="en"><institution>A. Aliev Azerbaijan State Institute of Physicians Training</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>30</day><month>03</month><year>2021</year></pub-date><volume>1</volume><issue>1</issue><fpage>35</fpage><lpage>46</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; ФГАУ «НМИЦ здоровья детей» Минздрава России, 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">ФГАУ «НМИЦ здоровья детей» Минздрава России</copyright-holder><copyright-holder xml:lang="en">ФГАУ «НМИЦ здоровья детей» Минздрава России</copyright-holder><license xlink:href="https://www.neuro-journal.ru/jour/about/submissions#copyrightNotice" xlink:type="simple"><license-p>https://www.neuro-journal.ru/jour/about/submissions#copyrightNotice</license-p></license></permissions><self-uri xlink:href="https://www.neuro-journal.ru/jour/article/view/29">https://www.neuro-journal.ru/jour/article/view/29</self-uri><abstract><p>Головные боли (ГБ), возникающие в период сна, представляют самый частый вид жалоб на боли в ночное время, наравне с болями в спине. Связанные со сном ГБ могут быть проявлением как первичных цефалгий (мигрень, кластерная ГБ, хроническая пароксизмальная гемикрания, гипническая ГБ), так и вторичных цефалгий на фоне соматической патологии (анемия, гипоксемия), неврологических (объемные образования головного мозга, артериовенозные мальформации) и психических заболеваний (депрессивные, тревожные расстройства), расстройств сна (синдром апноэ во сне). Взаимосвязи между ГБ и сном рассматриваются в зависимости от возраста пациента, частоты и степени тяжести цефалгии, провоцирующих факторов (избыточный сон, депривация сна, злоупотребление обезболивающими препаратами для лечения приступа ГБ), стадии сна, генетической предрасположенности (гемиплегическая мигрень). </p><p>Взаимоотношения сна и ГБ сложные и взаимозависимые. Сон может как провоцировать, так и облегчать приступы ГБ. С другой стороны, ГБ способна вызывать нарушения сна, что характерно для тяжелых форм цефалгии с развитием хронической ежедневной ГБ, избыточного применения обезболивающих препаратов для купирования ГБ и психических коморбидных нарушений. Предполагаются общие анатомические структуры, нейрохимические и нейрофизиологические механизмы, участвующие в регуляции сна и ГБ.</p><p>По данным полисомнографии у пациентов со связанными со сном ГБ выявлены объективные изменения структуры ночного сна: сокращение продолжительности сна, увеличение представленности поверхностных фаз сна, уменьшение представленности медленноволнового сна. Большинство ночных приступов ГБ связаны с фазой быстрого сна.</p><p>Ведение пациентов с ГБ должно включать диагностику и лечение как собственно цефалгии, так и нарушений сна, что позволит значительно улучшить результаты лечения или избавиться от ГБ в ряде случаев.</p></abstract><trans-abstract xml:lang="en"><p>Headaches occurring during sleep are one of the most common types of night time pain complaints, along with back pain. Sleep-related headaches can be a manifestation of both primary headaches (migraine, cluster headache, chronic paroxysmal hemicrania, hypnic headache) and secondary headaches associated with somatic pathology (anemia, hypoxemia), neurological disorders (brain tumors, arteriovenous malformations), psychiatric (depressive, anxiety) and sleep disorders (obstructive sleep apnea). The relationship between headaches and sleep depends on the patient’s age, frequency and severity of the headaches, provoking factors (excessive sleep, sleep deprivation, overuse of painkillers), the stage of sleep (REM sleep or slow-wave sleep) and possible genetic predisposition (hemiplegic migraine). </p><p>The connections between sleep and headaches are complex and interrelated. Sleep can both provoke and relieve headaches. On the other hand, headaches can cause sleep disorders, which are typical for a severe type of cephalgia with the development of chronic daily headache syndrome, medication overuse, and psychiatric comorbidity. General anatomical structures, neurochemical and neurophysiological mechanisms involved in sleep and headache regulation are assumed. According to polysomnography data, objective changes in the structure of night sleep were detected in patients with a sleep-related headache: a reduction in the sleep duration and a decrease in the slow-wave sleep representation. Most nighttime headache attacks are linked with the REM sleep phase.</p><p>Management of patients with sleep-related headaches should include the diagnosis and treatment of both headache and sleep disorder, which will significantly improve the results of treatment or even cure headaches in some cases.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>головная боль</kwd><kwd>сон</kwd><kwd>инсомния</kwd><kwd>апноэ во сне</kwd><kwd>мигрень</kwd><kwd>кластерная головная боль</kwd><kwd>гипническая головная боль</kwd><kwd>психическая коморбидность</kwd><kwd>лечение приступа</kwd><kwd>профилактическое лечение</kwd></kwd-group><kwd-group xml:lang="en"><kwd>headache</kwd><kwd>sleep</kwd><kwd>insomnia</kwd><kwd>obstructive sleep apnea</kwd><kwd>migraine</kwd><kwd>сluster headache</kwd><kwd>hypnic headache</kwd><kwd>psychiatric comorbidity</kwd><kwd>abortive treatment</kwd><kwd>prophylactic treatment</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Левин Я.И. 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