neuro Q13 - tacrolimus99

[ArchivalUser]

A 62-year-old man is evaluated for recurrent episodes of visual disturbance followed by headache every 2 to 3 months for the past 5 years. The visual disturbance is described as a shimmering of light that obscures both visual fields and seems to resolve over 25 minutes and that is followed by mild to moderate headache with mild nausea. The headache typically resolves without treatment in 12 to 24 hours. The spells occur without reference to change in bodily position or time of day. He has a distant history of mild headaches with nausea, which he cannot recall clearly. Physical examination is normal.

What is the most likely diagnosis?
A Vertebral-basilar transient ischemic attack
B Cluster headache
C Migraine without aura
D Thunderclap headache
E Migraine with aura

[ArchivalUser]

E.

[ArchivalUser]

Approximately 20% of patients with migraine have headache with aura, that is, neurologic problems such as visual hallucinations or numbness or tingling before or during headache.
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