13 Dangerous Causes of Headache:
- subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and maximal intensity at onset, posterior location
- intracerebral hemorrhage: trauma, coagulopathy, decreased level of consciousness, hypertension
- CNS infection: fever, immunocompromise, CNS instrumentation, recent head/face infection, meningismus
- increased intracranial pressure: slowly progressive, cancer history, worse in morning, worse with head in dependent position, papilledema
- carbon monoxide toxicity: contacts with similar illness, locationality (worse at home or at work)
- acute angle closure glaucoma: unilateral anterior location, precipitated by darkness, change in vision, red eye
- temporal (giant cell) arteritis: elderly, temporal location, jaw claudication, shoulder girdle symptoms
- cervical artery dissection: unilateral pain involving neck/face, trauma history
- cerebral venous sinus thrombosis: thrombophilia, neurologic signs/symptoms in non-arterial distribution, eyelid edema, proptosis
- hypertensive encephalopathy: altered mentation, marked hypertension, improves with antihypertensive therapy
- ENT/dental infection: ear, sinus, dental findings
- idiopathic intracranial hypertension: young overweight female, hormone use, vision changes
- preeclampsia: late pregnancy or postpartum
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