Hypnic headache constitutes one rare type of primary short-lasting headache
related to sleep.
The authors describe two cases of hypnic headache that had a very good resp
onse to lithium carbonate. Although these two cases do not fulfill the prop
osed criteria for hypnic headache, as the pain was not bilateral, and, in c
ase 2, it had a longer duration than previously described, we believe that
the very good response to lithium carbonate favors this diagnosis.
We believe that it is important to consider a diagnosis of hypnic headache
because of the remarkable response to lithium carbonate shown by some patie
nts with this condition.