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Refractory Chronic Migraine

A refractory chronic migraine will not respond to medications, Botox® and other therapies. Like other migraines, refractory chronic migraines can cause nausea, vomiting and sensitivity to light and sound. The board-certified plastic surgeons at The University of Kansas Health System offer effective, surgical treatment for refractory chronic migraines.


The symptoms of a refractory chronic migraine are similar to other types of migraines, but they persist even after treatment. People with refractory chronic migraines experience at least 2 of the following symptoms:

  • Severe pain
  • Headaches lasting longer than 4 hours
  • Pulsating or throbbing sensation
  • Avoidance of daily activities
  • Nausea and/or vomiting
  • Intolerance of light and/or sound
  • Headache as the result of a traumatic event


If other forms of therapy do not provide relief, minimally invasive surgery is an option for refractory chronic migraines. This treatment significantly reduces migraine symptoms and offers long-term relief for many people with refractory chronic migraines.