1.2.1.1 Typical aura with headache

A 34-year-old primary school teacher reports a warning phase that comes before her head pain. This was only her second such episode in her life. She describes a tingling, pins-and-needles sensation that begins in her right fingers and spreads slowly up her arm and into the right side of her face over some six or seven minutes, followed by trouble finding the right words, the two symptoms clearly following one after another rather than arriving together, lasting roughly 32 minutes in total. Her head pain then set in around twenty minutes after the tingling and speech trouble had cleared, throbbing and confining her to a darkened room. She has noticed no double vision, no vertigo and no ringing in her ears during these spells, and no weakness in her arm or leg. Vision in both eyes has been equally affected, with no loss of sight confined to one eye alone.