A 28-year-old man presents for evaluation of headaches. He has had several episodes of unilateral throbbing headaches that last 8 to 12 hours. When they occur, he gets nauseated and just wants to go to bed. Usually, they are relieved after he lays down in a dark, quiet room for the remainder of the day. He is missing significant work time due to the headaches. He has a normal examination today. 

 

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