The ictal phase (lower row) – headache phase - shows a decrease in μ-opioid receptor availability (μOR BPND) in the pain-matrix regions. This result possibly represents an increase in endogenous μ-opioid release during the migraine attack, as a regulatory response to the ongoing severe headache. Key words: thalamus (Thal), nucleus accumbens (NAcc), and anterior cingular cortex (ACC). (DaSilva AF, Nascimento TD, Love TM, DosSantos MF, Martikainen IK, Cummiford CM et al. Impact of a Spontaneous Migraine Attack in the Endogenous μ-Opioid System In-Vivo. J Vis Exp. 2013;In Press)