The association of obesity with episodic and chronic migraine.

CASE HISTORY Case 1:This is a 33-year-old woman with a history of being overweight since childhood and episodic migraine since the age of 15. In the last 5 years, without medication overuse, her headaches have become chronic. Her family history is negative for migraine, but both parents are obese. Her current body mass index (BMI) is 36. Case 2:This is a 38-year-old woman with a history of obesity since childhood and a history of episodic migraine since the age of 13 when her menses began. Last year, with a BMI of 39 and a headache frequency of 7 to 9 headaches per month, she underwent bariatric surgery. In the past 6 months, she notes some months with no headaches, and others with a maximum of 1 to 2 headache days. The migraines she does have now are easily treatable with triptans.