Chronic migraine headache and multiple dental pathologies causing cranial pain for 35 years: the neurodental nexus

BMJ Case Rep. 2019 Sep 20;12(9):e230248. doi: 10.1136/bcr-2019-230248.

Abstract

We report a case that illustrates how chronic migraine headaches and multiple dental pathologies caused severe and long-standing cranial pain that affected the quality of life of a man for more than 35 years. His case was investigated at several settings including the neurology outpatient clinic of the hospital without a definitive diagnosis or resolution. After investigations, multiple oral pathologies including two occult dental abscesses were diagnosed. Once both affected teeth and associated abscesses were surgically removed, with subsequent antibiotic therapy the headaches resolved.

Keywords: dentistry and oral medicine; general practice/family medicine; headache (including migraines); neurology; pain (neurology).

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use*
  • Headache / diagnosis*
  • Headache / etiology
  • Headache / physiopathology
  • Headache / psychology
  • Humans
  • Male
  • Middle Aged
  • Migraine Disorders / diagnosis*
  • Migraine Disorders / etiology
  • Migraine Disorders / physiopathology
  • Migraine Disorders / psychology
  • Oral Health
  • Periapical Abscess / complications
  • Periapical Abscess / diagnosis*
  • Periapical Abscess / physiopathology
  • Periapical Abscess / psychology
  • Quality of Life / psychology*
  • Radiography, Dental
  • Time Factors
  • Tooth Extraction
  • Toothache / complications
  • Toothache / diagnosis*
  • Toothache / physiopathology
  • Toothache / psychology
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents