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Keywords:

  • isolated unilateral hypertrophy of the temporal muscle;
  • headache;
  • migraine;
  • botulinum toxin

A case of isolated unilateral hypertrophy of the Musculus temporalis identified by magnetic resonance imaging associated with recurrent hemicranial headache in a 22-year-old woman with Turkish ancestry is presented. Symptomatic relief was achieved by administration of acetaminophen. A review of the literature is presented and additional treatment options are discussed.