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Updated: Mar 31, 2026

A Method of Trigonometric Modelling of Seasonal Variation Demonstrated with Multiple Sclerosis Relapse Data
Published on: December 9, 2015
An inquiry into the seasonal nature of cerebrovascular disease
1Neuroscience Research Institute, Pennsylvania Hospital, Philadelphia, PA, U.S.A.
Insights
Cerebrovascular accidents (stroke) occur more frequently in winter. This review explores seasonal patterns, circadian rhythms, and serotonergic systems to understand stroke seasonality and improve research protocols.
Area of Science:
- Neurology
- Chronobiology
- Public Health
Background:
- Stroke incidence exhibits seasonal variation, with a higher prevalence during winter months.
- Understanding these seasonal patterns is crucial for public health initiatives and stroke prevention strategies.
- Existing research on the link between stroke occurrence and seasons requires further investigation.
Purpose of the Study:
- To review and synthesize existing literature on the relationship between stroke occurrence and seasonal variations.
- To explore the role of circadian and circannual rhythms in physiological health and their connection to stroke.
- To discuss how seasonal stroke patterns can be understood through the lens of biological rhythms.
Main Methods:
- Retrospective review of previous research linking cerebrovascular accidents (stroke) to seasons.
- Discussion of circadian and circannual rhythms in health and physiology, focusing on serotonergic systems.
- Interpretation of seasonal stroke data in the context of current chronobiological knowledge.
Main Results:
- Cerebrovascular accidents (stroke) are observed to occur more frequently during winter compared to other seasons.
- Circadian and circannual rhythms influence general physiology and health.
- Serotonergic systems are implicated in the regulation of these biological rhythms.
Conclusions:
- Seasonal variations in stroke incidence may be explained by underlying circadian and circannual rhythms.
- Understanding these rhythms can enhance the interpretation of stroke research.
- This knowledge can aid in designing more effective and realistic stroke research protocols and interventions.
Abstract:
An overview of the stroke literature indicates that cerebrovascular accidents (C VA) occur more often during the winter months relative to any other time of the year. Part I of this review presents a retrospection of previous research attempting to link CVA occurrence with the seasons. Part II discusses circadian and circannual rhythms in relation to health and general physiology, and in particular the relation of serotoninergic systems to these rhythms. Part III presents a discussion of how seasonal CVAs may be interpreted in terms of the current knowledge concerning circannual and circadian rhythms. These underlying rhythms may help to better understand research dealing with stroke and stroke pathologies, as well as aid in the design of more realistic protocols.
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