1.2 Migraine with aura

Identification: Female patient, 32 years old, engineer, with no previous comorbidities. Clinical History: The patient reports recurrent headache episodes for 5 years, initially with a monthly frequency, but which have increased to 2-3 times per week in the last 6 months. She describes the headache as pulsatile, unilateral (usually on the right side), of moderate to severe intensity, lasting 4 to 12 hours, associated with photophobia, phonophobia, and nausea. In the last 3 months, she began experiencing premonitory symptoms before the headache, characterized by a sensory aura. She reports a "tingling" sensation that starts at the fingertips of the right hand, ascends the arm, and reaches the ipsilateral face, lasting 20 to 30 minutes, followed by the headache. In two episodes, the tingling reached the tongue, causing temporary difficulty in articulating words. Physical and Neurological Examination: General physical examination: unremarkable. Neurological examination: normal, without motor, sensory, or cognitive deficits. Complementary Examinations: Cranial MRI: normal. Electroencephalogram: no epileptiform abnormalities.