We report a case of a 40-year-old male who had the clinical signs of chronic migraine. The diagnosis of chronic migraine is based on International Headache Society diagnostic criteria. The patient was bothered by unilateral and localized pain in the frontotemporal and ocular area, which lasts 4-72 hours, sensitivity to light and sound. Headache has pulsating quality, moderate or severe pain intensity. Attacks of headache bothered about 15-20 days a month. According to the standard MR scanning protocol, single areas of increased MR signal were detected in the mode Т2, Flair, which do not limit diffusion and do not cause a change in the MR signal in the SWI mode. The foci are located subcortically in the white matter of the frontal lobes of the brain, corresponding to foci of gliosis of the white matter of the frontal lobes. The patient received antiepileptic drugs, β-Blockers, triptans, antidepressants.The patient is recommended to inject botulinum toxin.
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