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Updated: Jun 11, 2025

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
Published on: June 2, 2014
Migraine/Headache "Tender Spots" Represent Referred Pain From Nerve Compression/Neuromas and Are Not "Trigger Points"
Jonathan Cheng1, A Lee Dellon2
1From the University of Texas Southwestern, Dallas, TX.
Abstract:
To minimize confusion in description of the clinical examination of the patient with migraine/headaches and implement peripheral nerve concepts into the surgical approach to treating the patient with migraines, the historical origin of the phrase "trigger point" is explored. The symptoms of migraine/headache are due to stimulation of the cranial/peripheral nerve being interpreted as due to stimulation of the meningeal innervation. Use of the phrase "extraction of trigger points" is discouraged in favor of either neurolysis of a compressed nerve or resection of a neuroma, depending upon the peripheral nerve pathology.
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