The most common vessels involved in the pain of migraine are the terminal branches of the external carotid artery, and in particular, the superficial temporal artery and its frontal branch, and the occipital artery, but the maxillary, posterior auricular, supra-orbital, and supra-trochlear branches may also be involved.
12.
It then changes its course and runs vertically upward, pierces the fascia connecting the cranial attachment of the trapezius with the sternocleidomastoideus, and ascends in a tortuous course in the superficial fascia of the scalp, where it divides into numerous branches, which reach as high as the posterior auricular and superficial temporal arteries.
13.
There are many operations that have been developed for the condition, but currently the most favored are the in-direct procedures EDAS, EMS, and multiple burr holes and the direct procedure STA-MCA . Direct superficial temporal artery ( STA ) to middle cerebral artery ( MCA ) bypass is considered the treatment of choice, although its efficacy, particularly for hemorrhagic disease, remains uncertain.
