2019 BMJ case reports

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

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BMJ case reports Vol. 12 (9) • Sep 2019

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.

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