# Trigeminal Neuralgia Triggering Recurrent Attacks of Migraine in a Chronic Migraineur: A Hidden Etiology Between the Lines

## TL;DR

A young man with migraines experienced unusual symptoms that were later diagnosed as trigeminal neuralgia, which may have triggered his migraines.

## Contribution

This case highlights a potential link between trigeminal neuralgia and migraine attacks in patients with chronic migraines.

## Key findings

- The patient's symptoms were atypical and initially misattributed to migraines.
- MRI confirmed trigeminal neuralgia as the underlying cause after treatment resolved symptoms.
- The case suggests a possible interplay between trigeminal neuralgia and migraines.

## Abstract

A 25-year-old man with a medical record of migraines presented with progressively worsening episodes of dizziness and constant right-sided neck and facial pain, each lasting for hours over a month. The increased pain frequency and lack of response to abortive treatment were not typical of his migraines. Investigation for an alternate cause of the patient's symptoms with an MRI revealed evidence of trigeminal neuralgia (TN). Following TN treatment and complete resolution of symptoms, the diagnosis was confirmed. The atypical presentation of TN and the existence of migraine history and symptoms in this patient suggest a relationship between TN episodes triggering migraine. This case underscores the importance of considering atypical presentations in patients with a history of migraines and the potential interplay between TN and migraines in diagnosis and treatment.