OJAI, CA—Understanding and integrating the multiple factors that determine periodic susceptibility to migraine, such as sleep and circadian rhythms, may allow clinicians to better predict attacks, said Robert Shapiro, MD, PhD, at the Fifth Annual Winter Conference of the Headache Cooperative of the Pacific.
According to Dr. Shapiro, Professor of Neurology at the University of Vermont College of Medicine in Burlington, headache disorders do not occur at random times. “There’s this complicated dance between sleep disorders and biorhythmic issues and headache disorders,” he said, noting that sleep is known as a terminator of migraine and that the transition between sleep and awakening may be a time when migraine is more likely to begin.
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