case_images: PMC10849747_01
case_images: Rook piercings involve the inferior crus of the antihelix (a). The patient's piercing extends vertically through the inferior crus (b). The superior crus of the antihelix (c) and helical rim (d) are also shown. The crus helix (e) is the location of the daith piercing which is different than the rook piercing and may reduce migraine symptoms in some patients.
case_images: crn-2024-0016-0001-536132_F01.jpg
case_images: PMC10849747_01_crn-2024-0016-0001-536132_F01.jpg
case_images: F1
case_images: A 27-year-old female with a history of cramp fasciculation syndrome, distant history of transient hemiplegic episodes, and no past history of migraine with aura reported persistent headaches, nausea, and occasional ipsilateral extremity weakness and paresthesias after a piercing of the inferior crus of her left antihelix (Fig. 1). This patient has also had multiple piercings of other locations of the auricle (Fig. 1), including the lobule, the stem of the antihelix, and the helix.