[Arterial pathology in migraine: endothelial dysfunction and structural changes in the brain and systemic vasculature]
Related Experiment Video
Updated: Apr 2, 2026

Isolation and Functional Analysis of Arteriolar Endothelium of Mouse Brain Parenchyma
Published on: March 11, 2022
Davinia Larrosa-Campo1, César Ramón-Carbajo, Rocío Álvarez-Escudero
1Hospital Universitario Central de Asturias, 33006 Oviedo, Espana.
Insights
Migraine may be linked to early vascular changes due to endothelial dysfunction, a predictor of arterial wall damage. While biomarkers show dysfunction, definitive links to structural arterial changes outside the brain remain unclear.
Area of Science:
- Vascular Biology
- Neurology
- Cardiology
Context:
- Migraine is a prevalent neurological disorder.
- The link between migraine and non-atherosclerotic vascular diseases is not well understood.
- Endothelial dysfunction is a potential common pathway.
Purpose:
- To review current literature on arterial properties in migraine.
- To examine functional (endothelial dysfunction) and structural (arterial stiffness, atherosclerotic diseases) aspects.
- To synthesize findings on vascular pathology associated with migraine.
Summary:
- Studies indicate increased endothelial dysfunction biomarkers in migraine patients.
- Vasoreactivity studies show mixed results, preventing firm conclusions.
- Evidence does not support macroscopic arterial alterations outside the cerebral vasculature in migraine.
Impact:
- Endothelial dysfunction may serve as an early marker for vascular pathology in migraine.
- Understanding these links can inform future research on migraine comorbidities.
- Highlights the need for further investigation into migraine's vascular implications.
Introduction:
The pathophysiology underlying the association between migraine and other non-atherosclerotic vascular diseases is largely unknown. Endothelial dysfunction has been proposed as a common link. Besides, endothelial dysfunction is considered as a predictor of structural changes in the arterial walls.
Aim:
To review the current knowledge about the functional (endothelial dysfunction) and structural (arterial stiffness and atherosclerotic diseases) arterial properties associated with migraine.
Development:
Studies of biological markers of endothelial dysfunction in peripheral blood, systemic and cerebral vasoreactivity, arterial stiffness indexes and direct visualization of macroscopic changes in the arterial wall have shown differences between patients with and without migraine, as well as between the different migraine subtypes.
Conclusions:
Endothelial dysfunction, as a predictor of structural changes in arteries, has been proposed as an early marker for vascular pathology associated with migraine. In migraine patients there is an increase of biomarkers of endothelial dysfunction, but the correlation with vasoreactivity studies does not allow definite conclusions. Available data do not allow to conclude that migraine is associated with macroscopic alterations outside the cerebral arterial bed.
Related Concept Videos
Arteries of the Head and Neck
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
Peripheral Artery Disease I: Introduction
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests
The Arch of Aorta
Encircling the heart, the coronary arteries form a ring-like structure before...
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Coronary Artery Disease II: Pathophysiology

