Monthly Archives: July 2024
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- July 15, 2024
Migraines and headaches can be extremely debilitating with a diverse set of triggers and symptoms. Although the pathophysiology for headaches is still unclear, evidence suggests that factors such as neurogenic inflammation and meningeal sensory innervation play important roles in the development of migraines. The dura mater, the outermost layer of meninges, is responsible for the pain sensation felt during headaches and migraines. The dura mater is composed of two layers known as the periosteal and meningeal layer and they function as a scaffold to drain blood and cerebrospinal fluid from the brain.
Cells of the dura mater, such as mast cells, macrophages, fibroblasts, and microvascular endothelial cells contribute in varying degrees to headache pathophysiology, but also provide critical normal functions. Dural fibroblasts (DuF), for instance, in the healthy brain produce extracellular matrix proteins such as collagen and fibronectin. Dural endothelial cells regulate blood vessel function