1.2.1 Migraine with typical aura

A 29-year-old warehouse supervisor reports what he says was only his second such spell to date. He describes a prickling, buzzing sensation that started in his fingertips and crept steadily up towards his elbow over roughly six or seven minutes, so that the spread was clearly gradual rather than sudden. Shortly afterwards his speech became slurred and hesitant, with family noting he paused mid-sentence searching for words. The entire disturbance, tingling and speech difficulty together, lasted about 32 to 33 minutes before settling completely. He denied any limb weakness, denied vertigo, double vision or hearing changes throughout, and noted no visual blurring or blind spots in either eye.