Three weeks prior to presentation, the patient presented to an outside emergency room for severe headaches and abdominal pain. She complained of throbbing bifrontal pain, bilateral 'black spots' in front of her eyes. Examination (including blood tests and MRI/MRV) was unremarkable and the patient was given amitryptiline and percocet. On the day of referral, the patient was seen by her primary care doctor for continued headaches and worsening of vision.
Past Medical History:
- migraine headaches since age 12
Past Ocular History:
- visual auras with migraine
Social History:
- smokes ½ PPD
- no alcohol consumption
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