Headache: The Journal of Head and Face Pain
Volume 49 Issue 10, Pages 1541 - 1543
Published Online: 27 Jul 2009
Copyright © 2009 American Headache Society
Brief Communication Elliot Shevel, BDS, Dip MFOS, MB BCh
Conflict of Interest: None
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.
Accepted for publication June 15, 2009.
Posts
No comments:
Post a Comment