Middle meningeal artery dilatation in migraine.

Headache

The Headache Clinic, Houghton, South Africa.

Published: August 2011

AI Article Synopsis

  • The study aims to demonstrate that the pain experienced during migraines is not caused by the expansion of dural meningeal arteries.
  • Current theories attribute migraine pain to changes in the trigeminovascular system, including large blood vessels and their neural connections.
  • Anatomical evidence shows that dural meningeal arteries are firmly encased in the dura mater and positioned in grooves of the calvarium, preventing them from dilating during a migraine episode.

Article Abstract

Objective: To show that migraine pain is not related to dilatation of the dural meningeal arteries.

Background: The origin of the pain in migraine has not yet been adequately explained and remains the subject of vigorous debate. Current theories implicate changes in the trigeminovascular system, which is defined as comprising the large intracranial vessels, and in particular, the dural meningeal vessels, the dura mater, and their neural connections.

Methods: The anatomical relationships of the dural meningeal arteries to the dura mater and the inner surface of the calvarium are described.

Results: The dural meningeal arteries lie in grooves in the inner table of the calvarium, are encased in the unyielding fibrous dura mater, and are consequently unable to dilate.

Conclusion: The pain of migraine is not related to dilatation of the dural meningeal arteries.

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Source
http://dx.doi.org/10.1111/j.1526-4610.2009.01495.xDOI Listing

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