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A 20-year patient with no PMH presents with new onset headaches over the past 2 months. They occur 1-2 times per week and last 1-2 days. The patient describes a unilateral headache, throbbing, and is associated with nausea and photophobia. The headache is often preceded by visual symptoms described as shimmering lights lasting about 15 minutes. The patient's neurological exam is normal. Does the patient require brain imaging? Why or why not? What pharmacologic agent would you recommend for abortive therapy? What education will you provide? Would you consider preventive therapy?
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