[Solved]: A 33-year-old female reports a 10-year history of…

A 33-year-old female reports a 10-year history of unilateral, pulsating headache that lasts about 6–10 hours, occurring 3-4 times per month. The headache is typically preceded by a gradual onset of paresthesia affecting the ipsilateral face and arm, which lasts about 20 minutes. She reports severe photophobia and phonophobia as well as left-sided cephalgia during the 6–10 h headache duration. She states the headaches appear randomly. As a result of her headaches, she typically needs to either call in sick or leave work early at least once a month due to headache. She has used OTC medications with partial relief of pain but continued photo- and phonophobia. She currently has a headache of 6 hours in duration that she characterizes as “8 on a scale of 1-10” and neurological exam is within normal limits. She has not taken any analgesic or other medications in the past 24 hours. Her presentation is consistent with: Migraine with aura. Tension-type headache. Cluster headache. Intracranial lesion.