{"ops":[{"insert":"A 22 year old man presents with a recurrent, severe headache in the left periorbital region for 5 months, which occurred between 5 to 10 times each day.\n\nThe episodes were abrupt in onset, lasted between 30 minutes to 2 hours, and were accompanied by lacrimation and rhinorrhea.\n\nThere was no aura or any obvious precipitating factors. His medical and surgical histories are unremarkable.\n\nHe had self-medicated himself with acetaminophen (paracetamol) and ibuprofen so far.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-180_en.png"}},{"insert":"\n"}]}
2
Investigate
MRI + MRA brain
{"ops":[{"insert":"No structural or vascular lesions are detected.\n"}]}
Temporal artery biopsy
{"ops":[{"insert":"You realize that a temporal artery biopsy is probably not indicated here.\n"}]}