Headache Syndromes Sudden onset of pain - "Thunder clap" with any decreased mentation, any positive focal finding, meningismus or intractable pain • SAH, cervical artery dissection, cerebral venous thrombosis Sudden onset of pain - Recurrent thunder clap episodes, may be associated with stroke-like symptoms • Reversible cerebral vasoconstriction syndrome "Worst headache of my life" - Associated with sudden onset • SAH, cervical artery dissection, cerebral venous thrombosis Near syncope or syncope - Associated with sudden onset • SAH, cervical artery dissection, cerebral venous thrombosis Increased with jaw movement - Clicking or snapping; pain with jaw movement • TMJ disease Facial pain - Fulminant pain of the forehead and area of maxillary sinus; nasal congestion • Sinus pressure or dental infection Forehead and/or temporal area pain - Tender temporal arteries • Temporal arteritis Periorbital or retro-orbital pain - Sudden onset with tearing • Temporal arteritis or acute angle closure glaucoma #Headache #Syndromes #diagnosis #symptoms