I have had, near daily, migraines for the last 7 years. They began approx. a month after my first craniotomy for a meningioma brain tumor. The migraines have changed how they present several times over the years. I have pretty much tried every medication and have gone thru Botox twice, all to no avail. Initially, fluorescent lights brought on the migraine. Felt like someone was shooting a later into my head. I would also be sitting in a chair and feel a crawling sensation going up my body, tingling along my face, light headed, out of body kind of experience. Then they changed again and I would a have a migraines that would last 10 sec to a couple of hours, multiple times a day. They have recently changed again. I am nauseous and/or vomiting nearly each time I get a migraine. They start at 2 and can jump to an 8 or 9 within minutes. Sound and light now bother me more than they used to. No auras though. I did have to have a second craniotomy in 2014 when the tumor regrow. The migraines are across the front of my forehead, with pulsing on the left, top side of my head (where part of the surgery was). My right eye droops and can droop completely closed, pain in my right eye. I can have tingling alongside my nose and ears. I do also have seizures (although I do not feel them). I have multiple other health issues as a result, but really need help with the migraines. I have tried baclofen, norityrptiline, gabapebtin, zonisimide, maxalt, topamax, fioricet, Imtrex, and many more. Nothing really works and if it does, it’s hit or miss. I have seen 8-10 neurologist and 3 neurosurgeons. They have sent me to pain management but I have a problem with being put on narcotics and told if I become addicted, we will deal with that later ( dad was an alcoholic and sister drug addict) not willing to take the chance, plus I hate feeling like I’m in a cloud all the time. So any suggestions I would really appreciate. Currently reside in Mississippi but will be moving back to DFW in about 6 months. Thanks in advance!