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Case report
Chronic migraine headache and multiple dental pathologies causing cranial pain for 35 years: the neurodental nexus
  1. Antonio Jose Reyes1,
  2. Kanterpersad Ramcharan2 and
  3. Rajesh Maharaj3
  1. 1 Medicine, Neurology Unit, San Fernando Teaching Hospital, San Fernando, Trinidad and Tobago
  2. 2 Medicine, SurgiMed Clinic, San Fernando, Trinidad and Tobago
  3. 3 Independent Researcher, Chaguanas, Trinidad and Tobago
  1. Correspondence to Dr Kanterpersad Ramcharan, kramcharan79{at}


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.

  • dentistry and oral medicine
  • general practice/family medicine
  • neurology
  • headache (including migraines)
  • pain (neurology)
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  • Contributors All authors are responsible for the following: conception and design, acquisition of data or analysis and interpretation of data; drafting the article or revising it critically for important intellectual content; final approval of the version published and agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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