A 69 year-old female with a history of migraine symptoms presented at a neurologist’s office in the West. The patient stated that her migraine symptoms had begun at 8 years of age. Although symptomatic since 8 years of age, she did not experience frequent visual auras and head pain until her late 50s. In her first meeting, she reported 15 severe headache days and 7 minor headache days per month. In addition, she reported feeling tired and mild confusion, even on her pain-free days. She had been treated unsuccessfully as a teenager for sinus headaches, with progressive difficulties concentrating in school due to being in constant pain. After thorough neurologic and radiologic assessment, the neurologist diagnosed chronic migraine syndrome.