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A thunderclap headache is a headache that is severe and has a sudden onset. It is defined as a severe headache that takes seconds to minutes to reach maximum intensity. [1] [2] Although approximately 75% are attributed to "primary" headaches—headache disorder, non-specific headache, idiopathic thunderclap headache, or uncertain headache disorder—the remainder are secondary to other causes ...
Individuals with exploding head syndrome hear or experience loud imagined noises as they are falling asleep or are waking up, have a strong, often frightened emotional reaction to the sound, and do not report significant pain; around 10% of people also experience visual disturbances like perceiving visual static, lightning, or flashes of light.
But those first migraine warning signs can be subtle and unexpected, including symptoms like difficulty concentrating, sleep disturbances, food cravings, neck pain and yawning.
Affected individuals have a constant migraine-like headache and experience pain in all three trigeminal nerve branches. 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.
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]
The pain is usually on both sides of the head (in 88–93% of people with NDPH), but may be unilateral, and may be localized to any head region. [5] The pain can fluctuate in intensity and duration, is daily, and lasts more than 3 months. [citation needed] There may be accompanying photophobia, phonophobia, lightheadedness or mild nausea.
The months of June and July have the most lightning fatalities with an average of six and 10 deaths per month in the U.S., respectively.
The attacks are said, by those affected, to feel like stabbing electric shocks, burning, sharp, pressing, crushing, exploding or shooting pain that becomes intractable. [8] The pain also tends to occur in cycles with remissions lasting months or even years. Pain attacks are known to worsen in frequency or severity over time, in some people.
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