A neural mechanism for exacerbation of headache by light
Open Access
- 10 January 2010
- journal article
- research article
- Published by Springer Science and Business Media LLC in Nature Neuroscience
- Vol. 13 (2), 239-245
- https://doi.org/10.1038/nn.2475
Abstract
Light makes migraines worse. The authors show that this effect can be mediated by intrinsically photosensitive retinal ganglion cells projecting onto thalamic neurons that also receive nociceptive input from the dura mater. The perception of migraine headache, which is mediated by nociceptive signals transmitted from the cranial dura mater to the brain, is uniquely exacerbated by exposure to light. We found that exacerbation of migraine headache by light is prevalent among blind individuals who maintain non–image-forming photoregulation in the face of massive rod/cone degeneration. Using single-unit recording and neural tract tracing in the rat, we identified dura-sensitive neurons in the posterior thalamus whose activity was distinctly modulated by light and whose axons projected extensively across layers I–V of somatosensory, visual and associative cortices. The cell bodies and dendrites of such dura/light-sensitive neurons were apposed by axons originating from retinal ganglion cells (RGCs), predominantly from intrinsically photosensitive RGCs, the principle conduit of non–image-forming photoregulation. We propose that photoregulation of migraine headache is exerted by a non–image-forming retinal pathway that modulates the activity of dura-sensitive thalamocortical neurons.This publication has 48 references indexed in Scilit:
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