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July 22, 1974

Headaches and Sleepwalking

Author Affiliations

Findlay, Ohio

JAMA. 1974;229(4):393. doi:10.1001/jama.1974.03230420015012

To the Editor.—  Over the last few years, I have become impressed with the relationship between severe headaches and nocturnal phenomena such as sleepwalking and sleeptalking. To verify this, I questioned 12 consecutive patients coming to the office with the chief complaint of severe or frequent headaches, and as a control, I questioned 20 consecutive patients who did not have frequent or severe headaches. The Table illustrates the responses.There is an obvious difference between the two groups in that patients without severe or frequent headaches had a much lower incidence of personal or family sleepwalking or sleeptalking. In patients with severe or frequent headaches, the incidence of either family or personal sleepwalking or sleeptalking approaches 95%.The relationship between nocturnal phenomena and temporal lobe epilepsy has been reported,1 and it is widely accepted that there is some relationship between migraine and epilepsy.2 Various vasospastic phenomena have been