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Migraine and sleep disorders: a systematic review
Cindy Tiseo1,2, Alessandro Vacca3, Anton Felbush4
1Department of Applied Clinical Sciences and Biotechnology, University of L'Aquila, L'Aquila, Italy.
The Journal of Headache and Pain
|October 28, 2020
Summary
Migraine and sleep disorders share common pathways, suggesting a potential causal link. Identifying specific sleep issues in migraine patients can improve combined treatment strategies.
Area of Science:
- Neurology
- Sleep Medicine
- Chronic Disease Epidemiology
Background:
- Migraine and sleep disorders are prevalent chronic conditions with significant health and economic burdens.
- A long-recognized clinical and epidemiological association exists between migraine and sleep disturbances.
- The precise mechanisms underlying this relationship remain complex and incompletely understood.
Purpose of the Study:
- To systematically review existing data on migraine and sleep disorders.
- To evaluate the potential causal relationship between these conditions.
- To identify influencing factors and specific associated sleep disorders.
Main Methods:
- Systematic literature review of studies on migraine and sleep disorders.
- Analysis of biochemical and functional imaging data.
- Assessment of epidemiological evidence.
Main Results:
- Evidence suggests shared central nervous system pathways and neurotransmitters involved in both migraine and sleep regulation.
- Dysregulation in these common pathways may play a causative role in the pathogenesis of both disorders.
- Specific sleep disorders are frequently associated with migraine.
Conclusions:
- A complex interplay exists between migraine and sleep disorders, likely involving shared neurobiological mechanisms.
- Clinicians should routinely screen migraine patients for sleep disorders.
- Combined treatment strategies addressing both conditions are recommended for improved patient outcomes.
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