Thank you for posting your query.
I have noted your husband's symptoms and the report of his MRI brain.
I agree that he has symptoms of migraine. The best option would be to start him of preventive medications to reduce the severity and frequency of migraine headaches. Good medications for this purpose include divalproex
and beta blockers.
In addition, he can take rizatriptan
to get relief from headaches as and when he gets them.
There is no need to worry about the recent scalp symptom, as it is a minor symptom and would go away on own.
I hope it helps.
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist