The possibility that spreading depression (SD) of cortical activity, a phen
omenon observed in all vertebrates, causes the sura of migraine remains an
open question in spite of nearly half a century of investigation. SD is als
o thought to be associated with the progressive neuronal injury observed du
ring cerebral ischaemia, Thus, the ability to detect and investigate SD in
humans m ig ht prove clinically significant,Animal studies of cortical spre
ading depression (CSD) have benefited greatly from the advent of relatively
noninvasive imaging techniques. The use of these new imaging techniques fo
r clinical studies will accelerate progress in this area of neurobiology.