Headache syndromes are known to occur in association with sleep. Both
the clinical and the polysomnographic abnormalities occurring in assoc
iation with various headache syndromes have been described. We report
the occurrence of transient recurrent situational insomnia that occurr
ed in association with chronic cluster headaches and was reversible af
ter the headache cluster subsided. This seems to represent a further d
egree of sleep disturbance in addition to the previously described ins
omnia and other abnormal polysomnographic features that may occur in d
irect association with the headache syndromes.