Role of the Extracranial Arteries in Migraine Headache: A Review

@article{Shevel2004RoleOT,
  title={Role of the Extracranial Arteries in Migraine Headache: A Review},
  author={Elliot Shevel and Egilius L H Spierings},
  journal={CRANIO{\textregistered}},
  year={2004},
  volume={22},
  pages={132 - 136}
}
Abstract The pain of the migraine headache is often so debilitating that it severely compromises quality of life. The vascular component of the trigeminovascular system has been implicated in the pain mechanism. There is, however, debate as to whether the pain originates in the intracranial or extracranial vasculature or in both. In this article, evidence is presented to suggest that the extracranial arteries are the source of the pain in some migraine sufferers. 
The extracranial vascular theory of migraine: an artificial controversy
  • E. Shevel
  • Medicine, Psychology
    Journal of Neural Transmission
  • 2010
TLDR
This review examines whether the vascular component of migraine pain arises from the intracranial or the extracranial vessels, or both, and whether vasodilatation plays a significant role in migraine pain.
The Extracranial Vascular Theory of Migraine—A Great Story Confirmed by the Facts
TLDR
Evidence is presented that confirms that vasodilatation is indeed a source of pain in migraine; this dilatation does not involve the intracranial vasculature; and the extracranial terminal branches of the external carotid artery are a significant source ofPain in migraine.
The Extracranial Vascular Theory of Migraine—A Great Story Confirmed by the Facts
TLDR
Evidence is presented that confirms that vasodilatation is indeed a source of pain in migraine; this dilatation does not involve the intracranial vasculature; and the extracranial terminal branches of the external carotid artery are a significant source ofPain in migraine.
Migraine Pain—Intracranial or Extracranial?
TLDR
The theory that the vascular pain in migraine originates from the intracranial vessels has never been substantiated with hard scientific evidence and is a false conclusion that has been woven thread by thread into the fabric of the authors' consciousness, until it has eventually become accepted as truth.
A method for determining when the superficial scalp arteries are the source of migraine pain.
  • E. Shevel
  • Medicine
    South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
  • 2017
TLDR
The location and a logical examination sequence of the vessels most frequently involved in migraine pain are described.
The Role of the External Carotid Vasculature in Migraine
TLDR
Experimental, clinical, and pharmacological evidence linking the extracranial terminal branches of the external carotid artery to migraine pain is presented.
Southern Headache Society Supplement: The Neurobiology of Throbbing Pain in Migraine
TLDR
For migraine, a cerebral vascular origin of the throbbing quality is a central tenet of the prevailing scientific view of migraine pain, but recent data challenge this perspective, with implications for understanding of throbbing pain not only for migraine but also for the pathophysiology of pulsatile pain in other conditions as well.
Effectiveness of a prolonged compression of scalp arteries on migraine attacks
TLDR
No constant relationship between the site of pain and the ipsilateral arteries giving better relief when compressed is found, and prolonged compression of the occipital and/or superficial temporal arteries is frequently efficacious in reducing or eliminating migraine pain.
Surgical Treatment of Migraine Headache: Back to the Future
TLDR
This historical review on migraine surgery takes us back to the beginnings of interventional management for migraine centuries ago, and reflects on present practices to highlight how far the authors have come.
Saline pomphus around scalp arteries can block migraine pain
TLDR
It is reported that prolonged compression of scalp arteries can abort a migraine attack, and the possibility of an inhibitory effect on the periarterial visceral afferent nerve is considered.
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