Migraine and Sleep-An Unexplained Association?

Int J Mol Sci. 2021 May 24;22(11):5539. doi: 10.3390/ijms22115539.

Abstract

Migraine and sleep disorders are common chronic diseases in the general population, with significant negative social and economic impacts. The association between both of these phenomena has been observed by clinicians for years and is confirmed by many epidemiological studies. Despite this, the nature of this relationship is still not fully understood. In recent years, there has been rapid progress in understanding the common anatomical structures of and pathogenetic mechanism between sleep and migraine. Based on a literature review, the authors present the current view on this topic as well as ongoing research in this field, with reference to the key points of the biochemical and neurophysiological processes responsible for both these disorders. In the future, a better understanding of these mechanisms will significantly expand the range of treatment options.

Keywords: dopamine; melatonin; migraine; orexins; serotonin; sleep; sleep disorders.

Publication types

  • Review

MeSH terms

  • Brain Stem / physiopathology
  • Cerebral Cortex / physiopathology
  • Dopamine / metabolism
  • Humans
  • Hypothalamus / physiopathology
  • Melatonin / metabolism
  • Migraine Disorders / complications*
  • Migraine Disorders / metabolism*
  • Migraine Disorders / pathology
  • Migraine Disorders / physiopathology
  • Orexins / metabolism
  • Serotonin / metabolism
  • Sleep / physiology
  • Sleep Wake Disorders / complications*
  • Sleep Wake Disorders / metabolism*
  • Sleep Wake Disorders / pathology
  • Sleep Wake Disorders / physiopathology
  • Thalamus / physiopathology

Substances

  • Orexins
  • Serotonin
  • Melatonin
  • Dopamine