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The pain is usually located in the occipital or frontal regions and can be accompanied by other cardiac symptoms like chest pain, shortness of breath, or radiating arm pain. This specific headache type is considered a potential warning sign of cardiac distress and requires immediate medical attention to prevent potentially life-threatening ...
The feeling of pulsating pain is not in phase with the pulse. [45] In more than 40% of cases, however, the pain may be bilateral (both sides of the head), and neck pain is commonly associated with it. [46] Bilateral pain is particularly common in those who have migraine without aura. [33]
Cluster-like head pain may be diagnosed as secondary headache rather than cluster headache. [21] A detailed oral history aids practitioners in correct differential diagnosis, as there are no confirmatory tests for cluster headache. A headache diary can be useful in tracking when and where pain occurs, how severe it is, and how long the pain lasts.
This includes aching teeth, ear aches, feeling of fullness in sinuses, cheek pain, pain in forehead and temples, jaw pain, pain around eyes, and occasional electric shock-like stabs. Unlike typical neuralgia, this form can also cause pain in the back of the scalp and neck.
In hemicrania continua, basal pain is a dull aching pressure similar to that of TTHs (Tension-Type Headaches) that occurs nearly always on the same side of the head and face. Pain ranges from mild to severe and is characterized by fluctuations that increase in intensity up to three to five times per 24-hour cycle.
The patient rotates their head to the affected side and extends their neck, while the examiners applies downward pressure to the top of the patient's head. A positive Spurling's sign is when the pain arising in the neck radiates in the direction of the corresponding dermatome ipsilaterally. [1] It is a type of cervical compression test.
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