Brain Fog & Dementia: The Science on the Cognitive Impacts of Migraine

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Key Questions
  • How is “brain fog” experienced or defined?
  • Which cognitive skills does migraine disease most commonly affect?
  • Can stress or emotion affect cognitive performance?
  • Do cognitive difficulties occur only during migraine attacks, or do they also appear between attacks?
  • Is there evidence that having migraine disease increases the risk of dementia?
  • Can medications used to treat migraine disease alter cognitive function?
  • How do cognitive symptoms interfere with day-to-day functioning?
  • Do cognitive symptoms improve when migraine disease is under control?
  • What lifestyle habits help to protect brain health?
  • Has cognitive rehabilitation been studied in people with migraine disease?
Interview Notes
Treatments Mentioned
  • Cognitive rehabilitation
  • Cognitive stimulation
  • Exercise
  • Lasmiditan (Reyvow) *discontinued in 2025
  • Sleep hygiene
  • Social interaction
  • Stress reduction
  • Topiramate (Topamax)

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Disclaimer: The Migraine World Summit aims to bring you a variety of perspectives and expertise, free from bias or judgment. Alternative theories presented in this video have not been medically reviewed. Views expressed in this interview do not necessarily represent the views of the Migraine World Summit. Please always consult your health care professional and do your own research before making changes to your treatment plan. Captions are auto-generated and may contain errors.

Laura (Libby) Sebrow, PhD

Clinical Neuropsychologist
Independent Clinical Practice

Dr. Laura (Libby) Sebrow earned her PhD in clinical psychology, with a health emphasis and a minor in clinical neuropsychology from Ferkauf Graduate School of Psychology, Yeshiva University. She is a graduate of Dr. Elizabeth Seng’s Headache and Adherence Lab and recently completed her clinical neuropsychology postdoctoral fellowship in the Department of Neurology at North Shore University Hospital, Northwell Health.

As a clinical neuropsychologist, her clinical and research interests focus on integrating neuropsychology into headache care, with a particular emphasis on increasing understanding of cognitive functioning in migraine. She also serves as an assistant editor for Headache: The Journal of Head and Face Pain.

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