1.1 Migraine without aura

A 30-year-old staff nurse reports recurring headache attacks. She describes the pain as moderate in intensity, and during an episode she stops all activity, lying down rather than continuing her shift. Any light in the room becomes unbearable, and she also finds the noise of the ward station intolerable, asking colleagues to keep their voices down. Her most recent attack lasted just short of eighteen hours, similar to previous ones, and she believes she has had at least six of these since they began two years ago. She reports no double vision, visual field loss, or flashing lights.