rewrite. In this case, several potential red flags warrant careful consideration. The patient presents with a long-standing history of migraine headaches, now increasing in bothfrequency and severity, with episodes reaching8-10/10 in intensityand lasting up to15 hours. Notably, she experiencesvisual aurasdescribed as "zig-zagging flashing lights" prior to onset, which are followed by intense, debilitating pain associated withnausea, vomiting, photophobia, and phonophobia. While these symptoms are consistent with migraine with aura, the progressive nature of the headaches and increased disability raise concern. A key red flag is thechange in headache pattern, as the patient reports that her headaches have become more frequent and are interfering with daily function. In clinical practice, any alteration in headache characteristicssuch as increased severity, frequency, or associated neurological symptomsshould prompt further evaluation to rule out secondary causes, includingintracranial mass, vascular anomalies, or other neurologic pathology