Migraine with extensive skin markings: a case report

BACKGROUND: Migraines are a commonly seen complaint in the emergency department, but migraines with extensive skin markings have rarely been reported and so the cause is still unknown. CASE PRESENTATION: We report a 28-year-old Pakistani male complaining of recurrent migraines that are now associated with skin markings that appear on his forehead and last for a few days and then disappear on their own. A diagnosis of migraines with cutaneous markings was made. An MRI was done on the patient and showed normal results. The patient has only been given painkillers for the treatment of his migraines. No other treatment or interventions have been done. CONCLUSION: The cause of these markings is still unknown, and very little literature has been written on such cases. Those markings appear to be self-resolving as the migraines subside. More investigations and research have to be done in order to find the cause of such markings, establish the natural history, and enhance their management.