State of Illness Migrainos: A Case and Review of the Literature at the National General Reference Hospital of Ndjamena

Introduction: Migraine is a chronic paroxysmal headache that progresses through attacks between which the patient does not suffer (free interval). We found no local or regional epidemiological data because migraine remains underdiagnosed. In Chad, we found no studies on this subject. Body of the Text: This is Mrs. TS, aged 35, her history goes back 4 days with unilateral headaches of moderate intensity, pulsating type and vomiting with self-medication of paracetamol Cp 500 mg 1 cp × 2 per day for 3 days and Ibuprofen 400 mg 1 cp/day for 4 days. The medical history of migraine attacks for 3 years. Physical and neurological examination were normal. A summary mentioned: Migraine syndrome and intracranial hypertension. The hypotheses had retained: Migraine status epilepticus, infectious encephalitis and meningeal hemorrhage. Discussion: Status migrainosus is a rare complication of migraine and is rarely reported in the literature. We report the case of a 35-year-old woman who consulted for headaches lasting more than 72 hours, unilateral location, pulsatile type with moderate to severe intensity, aggravated by physical activities (walking) associated with nausea and vomiting, which correspond to the criteria dictated by the International Headache Society (IHS). The neurological and complementary examinations did not reveal any particularities. Dr. Valade had not found any particularities on the neurological examination. Conclusion: Although status migrainosus is rare, it is a complication of migraine without aura.