Migraine presenting as chronic facial pain.

Abstract:

:We report the case of a 44-year-old woman with chronic facial pain. She was treated with several analgesics, prophylactic medications and infiltrations, but all treatment modalities were ineffective. Finally, the diagnosis of medication-overuse headache complicating migraine without aura was made and an appropriate treatment was initiated. Migraine is a very common primary headache and rarely presents as isolated facial pain. Stimulation of the dura with activation of the trigeminovascular system can result in pain in any of the three divisions of the trigeminal nerve. This is the anatomic basis of migraine pain presenting as referred pain to the second division of the trigeminal nerve. The atypical presentation of migraine pain can easily lead to inappropriate treatment regimens.

journal_name

Acta Neurol Belg

journal_title

Acta neurologica Belgica

authors

Debruyne F,Herroelen L

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

235-7

issue

3

eissn

0300-9009

issn

2240-2993

journal_volume

109

pub_type

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