The Root Of Migraine Pain Hypothesis
This story is a supplement to the feature “Why Migraines Strike” which was printed in the August 2008 issue of Scientific American. Whether headache is initiated by the brain stem, by the cortex or by the subcortex remains an active debate. SCENARIO 1: BLAME THE CORTEX In this view, cortical spreading depression, caused by hypersensitive neurons in the cortex, induces both aura and pain. In patients without aura, a wave of neuronal hyperexcitability resembling cortical spreading depression might take place in subcortical regions....