3.2.1 Episodic paroxysmal hemicrania

A 29-year-old part-time yoga instructor is seen for episodic severe headache. She has counted five distinct bouts of headache to date, and each bout running for roughly a week before clearing. each attack lasts about twelve minutes, and on bad days as many as eight attacks occur. she reckons the lifetime count sits near fifty-six attacks. the pain sits just above the eye, the pain is severe, and it is always one-sided. she becomes restless and agitated, pacing during each attack. Notably, she found that a therapeutic dose of indomethacin abolished the attacks entirely.