Brain and head-nerve pathways behind migraine pain

Central vs. Peripheral Mechanisms of Headache: Cortex, Thalamus, Dorsal Horn

NIH-funded research Beth Israel Deaconess Medical Center · NIH-11309603

Researchers are comparing how specific brain regions and head nerves produce migraine headache in people who get migraines, including those with aura.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionBeth Israel Deaconess Medical Center NIH-funded
Lab location1 site (Boston, United States)
Project IDNIH-11309603 on NIH RePORTER

What this research studies

This project looks at how a wave of brain activity called cortical spreading depression (the event behind migraine aura) affects pain pathways from the meninges up to the thalamus and cortex. Using detailed neuronal recordings and laboratory models, scientists will compare activity in first-, second-, and third-order neurons to find where prolonged pain signaling starts. The team will pay special attention to the thalamus because it connects strongly with the cortex and contains neurons with bilateral receptive fields that may explain one- versus two-sided headache. The goal is to fill a gap left by prior work that measured early pain neurons but did not examine thalamic responses to cortical spreading depression.

Who could benefit from this research

Good fit: People who experience recurrent migraines, especially those who have aura or headaches that are one-sided or switch sides, are most relevant to the findings.

Not a fit: People with non-migraine headache types or headaches caused by structural disorders or other medical conditions are less likely to benefit directly.

Why it matters

Potential benefit: If successful, this work could point to new brain-targeted approaches to prevent or reduce migraine pain.

How similar studies have performed: Previous single-unit recording studies in animals showed prolonged activation in first- and second-order meningeal pathways after cortical spreading depression, but effects on thalamic third-order neurons remain largely untested.

Where this research is happening

Boston, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.