Carly is a 23-year-old female with a 4-year history of recur…
Carly is a 23-year-old female with a 4-year history of recurring, pulsating, unilateral headaches that usually are accompanied by vomiting and photophobia. The headaches typically last 3.5 hours and resting in a dark room usually aborts them. She knows when they are coming on by “seeing ‘squiggles’ before my eyes” and feels this lasts about 15 minutes. Her physical exam is otherwise non-remarkable. Her presentation is most consistent with which of the following?: