Related Experiment Video
Updated: Jun 23, 2026

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
Published on: June 2, 2014
Migraine pain, meningeal inflammation, and mast cells
1Headache Research Laboratory, Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, E/CLS639, Boston, MA 02215, USA. dlevy1@bidmc.harvard.edu
Abstract:
Migraine pain has been attributed to an episode of local sterile meningeal inflammation and the subsequent activation of trigeminal primary afferent nociceptive neurons that supply the intracranial meninges and their related large blood vessels. However, the origin of this inflammatory insult and the endogenous factors that contribute to the activation of meningeal nociceptors remain largely speculative. A particular class of inflammatory cells residing within the intracranial milieu, known as meningeal mast cells, was suggested to play a role in migraine pathophysiology more than five decades ago, but until recently the exact nature of their involvement remained largely unexplored. This review examines the evidence linking meningeal mast cells to migraine and highlights current experimental data implicating these immune cells as potent modulators of meningeal nociceptors' activity and the genesis of migraine pain.
Insights
Meningeal mast cells, a type of immune cell, may trigger migraine pain by activating nerve cells in the brain's lining. Further research clarifies their role in migraine pathophysiology.
Area of Science:
- Neuroscience
- Immunology
- Pain Research
Background:
- Migraine pain is linked to meningeal inflammation and trigeminal nerve activation.
- The source of inflammation and factors activating meningeal nociceptors are unclear.
- Meningeal mast cells' role in migraine pathophysiology has been hypothesized but not fully explored.
Purpose of the Study:
- To review evidence connecting meningeal mast cells to migraine.
- To highlight experimental data on meningeal mast cells' function in migraine.
Main Methods:
- Literature review of studies on meningeal mast cells and migraine.
- Analysis of experimental data implicating immune cells in migraine pain.
Main Results:
- Meningeal mast cells are implicated in modulating meningeal nociceptor activity.
- These immune cells are suggested to be key players in the genesis of migraine pain.
Conclusions:
- Meningeal mast cells are potent modulators of meningeal nociceptors.
- Further investigation into meningeal mast cells is crucial for understanding migraine.
- Targeting meningeal mast cells may offer new migraine treatment strategies.
Related Concept Videos
Bacterial Meningitis
Bacterial Meningitis II: Pathophysiology
Bacterial Meningitis I: Introduction
Viral Meningitis
Cranial and Spinal Meninges
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
Acute Inflammation III: Local and Systemic Effects

