We describe the case of a young episodic migraineur, having been diagnosed with a low-grade glioma after a first epileptic seizure. After tumour extirpation, he suffered chronic, migraine-like post-craniotomy headache along with complex partly psychosomatic disturbances, and he was largely resistant to pharmacotherapy, but could be stabilized on a modest level. In the differential diagnosis, both somatic aspects and psychosomatic components play a role. Concerning the headaches, a differential diagnosis based on the classification is discussed along with pathophysiolgical considerations, based on his “migrainous brain”.
International Headache Society Migraine Without Aura Episodic Migraine Epileptic Discharge Functional Origin
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