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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.
The International Classification of Headache Disorders (ICHD) is a detailed hierarchical classification of all headache-related disorders published by the International Headache Society. [1] It is considered the official classification of headaches by the World Health Organization , and, in 1992, was incorporated into the 10th edition of their ...
Retrocollis is the extension of the neck (head tilts back) and uses the following muscles for movement: bilateral splenius, bilateral upper trapezius, bilateral deep posterior paravertebrals. This is the "chin-in-the-air" version. A combination of these head positions is common; many patients experience turning and tilting actions of the head. [10]
Neck-tongue syndrome (NTS), which was first recorded in 1980, [1] is a rare disorder characterized by neck pain with or without tingling and numbness of the tongue on the same side as the neck pain. [2] Sharp lateral movement of the head triggers the pain, usually lasting from a few seconds to a few minutes. Headaches may occur with the onset ...
The pain is usually constant, described as aching or burning, and often affects both sides of the face (this is almost never the case in patients with trigeminal neuralgia). The pain frequently involves areas of the head, face, and neck that are outside the sensory territories that are supplied by the trigeminal nerve.
The most common symptom of a spinal CSF leak is a fast-onset, extremely painful orthostatic headache. [23] [25] This headache is usually made worse by standing and typically becomes prominent throughout the day, with the pain becoming less severe when lying down. [26] Orthostatic headaches can become chronic and disabling to the point of ...
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 ...
Chronic paroxysmal hemicrania (CPH) is a severe debilitating unilateral headache usually affecting the area around the eye. It normally consists of multiple severe, yet short, headache attacks affecting only one side of the cranium. Retrospective surveys indicated that paroxysmal hemicrania was more common in women.