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
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