A 44 year old right handed male presented for a routine eye examination.

On questioning, he had been experiencing increasing headaches for the past 2 months. He had two headaches in total which presented as follows;

• blurred vision followed by headache
  
• can’t see anything on right hand side, aura for 30 mins, headaches lasted ½ day, always on right side

Other symptoms included;

• persistent visual field loss post migraine
  
• some short-term memory loss

Previous migraines never occurred with blurred vision. No nausea, vomiting, sensitivity to light/sound/smell, weakness/numbness, personality changes, work issues or history of cancer were reported.