Objective:

To explore the relationship between antihypertensive therapy and migraine remission, emphasizing the potential roles of endothelial dysfunction and autonomic imbalance in migraine management.

Key Findings:

• Migraine attacks occurred 3-4 times per month, often triggered by strong odors.
• After starting antihypertensive therapy, blood pressure normalized and migraine symptoms resolved within two weeks.
• Remission persisted for 12 months, indicating a potential link between vascular homeostasis and migraine management.

Interpretation:

The case suggests that antihypertensive therapy may modulate migraine through effects on endothelial function and autonomic balance, highlighting the need for further exploration of these mechanisms.

Limitations:

• Single case study limits generalizability of findings and may not represent broader patient populations.
• No control group or long-term follow-up beyond 12 months limits the ability to draw definitive conclusions.

Conclusion:

This case highlights the potential for antihypertensive therapy to induce sustained remission in migraine, warranting further investigation into the underlying mechanisms and broader applicability.