Sleep in Patients with Chronic Migraine

Sleep in Patients with Chronic Migraine Curr Pain Headache Rep (2017) 21:39 DOI 10.1007/s11916-017-0641-9 CHRONIC DAILY HEADACHE (SJ WANG, SECTION EDITOR) 1,2 3,4,5 Chun-Pai Yang & Shuu-Jiun Wang Springer Science+Business Media, LLC 2017 Abstract thus play a role in migraine progression. Encouraging but lim- Purpose of Review The biological and pathophysiological in- ited evidence suggests that management of insomnia via behav- teraction between sleep and chronic migraine (CM) remains to ioral sleep therapy may reverse CM to EM and possibly prevent be fully elucidated. In this article, we provide a narrative re- migraine chronification. view of the literature on sleep disturbance and CM, highlight- Summary Migraine has a complex relationship with sleep. ing recent advances in sleep research and insights into mech- The use of objective sleep study such as polysomnographic anisms that could mediate a role of sleep disturbances in mi- microstructural sleep analysis and actigraphy could help con- graine chronification. We discuss the potential for cognitive- nect sleep disturbances and processes related to CM. Future behavioral insomnia therapy (CBTi) as an intervention for CM longitudinal studies should examine whether effective be- with comorbid insomnia. Finally, we propose a model of the havioral treatments such as CBTi can reverse migraine mechanisms underlying the interactions Current Pain and Headache Reports Springer Journals

Sleep in Patients with Chronic Migraine

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Copyright © 2017 by Springer Science+Business Media, LLC
Medicine & Public Health; Pain Medicine; Internal Medicine
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