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Combining Imaging and Electrophysiology to Visualize and Record Spreading Depolarizations in Mice
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Cortical spreading depression and migraine.

Andrew C Charles1, Serapio M Baca

  • 1Headache Research and Treatment Program, Department of Neurology, David Geffen School of Medicine at UCLA, Neuroscience Research Building 1, Room 575, 635 Charles Young Drive South, Los Angeles, CA 90095-7335, USA.

Nature Reviews. Neurology
|September 18, 2013
PubMed
Summary
This summary is machine-generated.

Cortical spreading depression (CSD) is a brain event linked to migraine aura. While CSD occurs in humans, its exact role in causing migraine symptoms requires further investigation.

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Area of Science:

  • Neuroscience
  • Neurology
  • Migraine Pathophysiology

Background:

  • Cortical spreading depression (CSD) is a wave of brain activity changes.
  • CSD has been a proposed mechanism for migraine aura since the 1940s.
  • CSD is confirmed to occur in humans, particularly after brain injury.

Purpose of the Study:

  • To review current understanding of CSD.
  • To explore the potential role of CSD in migraine.
  • To highlight unanswered questions regarding CSD in migraine.

Main Methods:

  • Literature review of CSD and migraine research.
  • Synthesis of evidence from animal models and human studies.
  • Discussion of ongoing research directions.

Main Results:

  • CSD involves significant neural and vascular changes.
  • Animal models provide indirect support for CSD's role in migraine aura.
  • CSD is demonstrably present in the human brain.

Conclusions:

  • The precise role of CSD in migraine remains uncertain.
  • Key questions about CSD initiation, spread, and symptom causation persist.
  • Further research is needed to fully understand CSD's fundamental brain phenomenon and link to migraine.