Evaluate the quality of sleep in pediatric patients with headache as the main reason for consultation.

There is a high prevalence of comorbidity between sleep disorders and headaches in both adults and children. This relationship is linked to the neuroanatomic and neurophysiological substrate that both pathologies share. Both problems are prevalent during childhood, migraine and tensión-type headache occur in 12% of the pediatric population and 25% of children experience at least one sleep disorder. 

Prospective cross-sectional study conducted in the Headache and Chronic Non-Oncology Pain Clinic of the Neurology Service of the Neurology Service of the University Hospital “Dr. José E. González” from February to November 2018. We did a clinical history focused on the semiology of headache, including variables for assessing sleep quality. Statistical analysis was performed using the SPSS software.

52 patients with a mean age of 10.8±3.2 were included, 34(63.4%) of the female gender. Headaches were classified according to the diagnostic criteria of the International Classification of Headache, having migraine without aura as the most frequent diagnosis in 19(36.5%), probable migraine in 11(21.2%) and tension-type headache in 6(1.5%). 8.3±1.2 hours of average sleep, of which only 24(45.2%) comply with the hours recommended by the American Academy of Pediatrics. Regarding sleep disorders, it was observed that 21(40.4%) had non restful sleep, 19(36.5%) snoring, 15(28.8%) had difficult to initiate sleep, 15(28.8%) had movements during sleep, 19(36.5%) had daytime sleepiness and 7(13.5%) had bruxism.