THE dura mater has been implicated as a tissue where vascular headache
develops. Identification of the neural components of this tissue is a
prerequisite for understanding the mechanisms of this pathological pr
ocess. The nitric oxide molecule, a potent vasodilator, may contribute
to the vascular headache process by dilating dural vasculature. Our i
mmunohistochemical study using nitric oxide synthase (NOS) antibodies
revealed NOS-positive nerve fibers and a prominent mast cell populatio
n in the rat dura. A majority of the immunopositive fibers were associ
ated with the anterior meningeal artery and its branches and sparse in
nervation with the middle meningeal artery, its branches, and superior
sagittal sinus. We propose that the NOS-positive nerve fibers and mas
t cells be considered as possible participants in the pathogenesis of
vascular headache.