krishna

Present Complaints of the patient :   1) Migraine with aura    2) Swelling which is mainly confined to face and abdomen   3) Sleep disturbances   4) Weakness on exertion   5) Increased tolerance to pain Description of each complaint in detail :- 1) Migraine with Aura : Onset - Sudden Duration - Since 2 years of age so approximately 40 years Progression - gradually progressive in intensity  Site - More in the left side Associated complaints -  preceded by Aura,  generally associated with numbness of left hand and left face  feeling of rotation and spinning while sleeping on left side.    Past History : At age of 34 years, she had the worst headache as described by her due to which she lost her vision and began stuttering. It relieved by itself within 2 hours but her stuttering returned.  She also had mild memory loss as well as loss of function of left side ( dropping things intermittently and severe cramping of left arm.) Also had a history of CSF rhinorrhoea from her left nostril. At