Gretchen Tietjen | Source | Professor emerita of neurology at The University of Toledo
Gretchen Tietjen
Dr. Gretchen Tietjen, MD is a Neurology Specialist in Toledo, OH and has over 37 years of experience in the medical field. Dr. Tietjen has more experience with headache and epilepsy than other specialists in her area. She graduated from University of Michigan Medical School medical school in 1984. She is affiliated with medical facilities such as ProMedica Toledo Children's Hospital and ProMedica Toledo Hospital.
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What that suggests to me is that it may not be just microemboli . . . inducing an aura. It points to the presence of other vasoactive substances or hypoxia in the shunted blood playing a role.
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Sleep promotes proper functioning of the glymphatic system, which clears waste products from the brain. In obstructive sleep apnea, there's disordered breathing, [which causes] periods of low oxygenation.
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Doctors Explain Why You're More Likely to Get Headaches When You're Sleep DeprivedWhether you always struggle to sleep or you're just going through a particularly rough patch, missing out on those precious hours of shut-eye can drain you -
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Complete PFO Closure May Be Key for Migraine ReductionA residual shunt after closure was associated with a lower likelihood of improvement in a retrospective study.
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The University of Toledo
Professor emerita of neurology