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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 ...
Symptoms include excruciating burning, stabbing, or electrical headaches mainly near the eye and typically these sensations are only on one side of the body. The headache attacks are typically accompanied by cranial autonomic signs that are unique to SUNCT. Each attack can last from five seconds to six minutes and may occur up to 200 times daily.
The pain typically goes away after the sinus congestion is resolved. Intense physical activity can trigger this type of headache by increasing blood flow to the brain, per Healthline.
Head pain occurring as a single stab or a series of stabs; Can be felt in the areas surrounding the eyes and temples but is "typically felt on the top, front, or sides of the head" Pain lasting only a few seconds with irregular frequency; No cranial autonomic symptoms "Not attributed to another disorder" [5]
At least three of these features: one aura symptom that spreads gradually for more than 5 minutes, two or more aura symptoms that occur one after the other, each symptom lasts 5 to 60 minutes, at ...
Patients presenting with a headache originating at the posterior skull base should be evaluated for ON. This condition typically presents as a paroxysmal, lancinating or stabbing pain lasting from seconds to minutes, and therefore a continuous, aching pain likely indicates a different diagnosis. Bilateral symptoms are present in one-third of cases.
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