This patient is a 52-year-old white female presenting to clinic for “migraine” headaches on both sides of her head. These symptoms began 8 years previously. Initially, the headaches had started in the “right face down to the chin” per the patient. She underwent dental evaluation and her problem was deemed unrelated to dentition. At an outside hospital, she was treated with a Gamma Knife for the pain, but the pain did not improve. The pain is daily and constant, affecting her quality of life to the point where she cannot get out of bed at times.
Bilateral migraine headaches Trigger points to temple Auriculotemporal and zygomaticotemporal nerves Nerve blocks Nerve resection
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