Recent research has shown that magnesium levels in serum, salivary sec
retions and red blood cells are reduced in migraine patients with and
without aura, both ictally and interictally. This suggests that lower
magnesium levels can contribute to the etiopathogenetic mechanisms und
erlying migraine attacks. It has been suggested that mononuclear magne
sium content is a reliable index of magnesium nutritional status, as i
t is more closely related to the total body stores than other biochemi
cal indices. Therefore we determined mononuclear magnesium content in
adult migraine patients with and without aura, in headache-free period
s and, in a number of patients, during attacks. Migraine patients with
and without aura, assessed in interictal periods, had a reduced monon
uclear magnesium content compared to age-matched healthy control subje
cts. No significant variations were observed between ictal and interic
tal periods in migraine patients with aura and without aura. The lower
magnesium content in mononuclear cells could indirectly indicate the
reduction of brain magnesium concentration, which has recently been de
monstrated in the course of migraine.