1.2.3 Hemiplegic[^1] migraine

A 35-year-old primary school teacher reports an episode two nights ago. It began with tingling and pins-and-needles spreading from her right fingers up to her cheek, developing gradually over about ten minutes rather than appearing all at once. Shortly afterwards the right arm and the right side of her face felt heavy and weak, and she struggled to find words, slurring several sentences. Each feature followed the last rather than arriving together. The disturbance stayed confined to the right side of her body throughout. By her account the whole spell, from first tingling to full recovery, lasted around 32 to 33 minutes. A dull, throbbing headache came on within the hour, as the other symptoms were settling, and lasted into the following morning. This was only the second such episode in her life, the first having occurred four years ago and being much milder.