Hi there. These headaches could be due to stress, anxiety, migraines or tension headaches, sinus headaches radiating to the ear, headache usually front of head, on one or both the sides of temples along with nausea, vomiting, irritability, low blood pressure, sensitivity to lights, sound, etc. aura associated with migraines could include blind spots, blindness in half of your visual field, paresthesia, weakness or visual hallucinations. Your vision needs detailed testing by an ophthalmologist. Hypertension and hypotension need to be checked. An MRI brain is warranted to rule out any intracranial lesion particularly aneurysm and MRI spine for ruling out cervical spondylosis and degenerative disc disease. Temporal tendinitis mimics migraines including TMJ pain temporal headaches, tooth sensitivity, neck and shoulder pain. Treatment includes injecting local anesthetics and other medicines, moist heat muscle relaxants and NSAIDs along with physiotherapy. Multiple sclerosis would also need to be excluded. Treatment for migraines include drugs that prevent the attack like anti convulsants and drugs which treat an attack like triptans, ergots etc your queries should pertain to all these possible differential diagnoses. Trigeminal neuralgia needs to be considered. If the neurologist and radiologist are suspecting a cerebral aneurysm, they can confirm with cerebral angiography and clipping of the aneurysm could be done. Hope this helps. Take care.
Hi I am a 32 YOF and started to get sharp pain on the right cerebral hemisphere just above the temporal region that was sharp and intense it lasted only a few seconds however it was severe enough to make me drop whatever it was i was doing and just gard the area. I had it on and off throughout the night also it was enough pain to wake me up and again this morning twice. I am wondering if I should go to the clinic to get it checked out I have never had pain like this in my head before and I am worried. I dont like going to the clinic or the emergency department in my area it's a small town so everyone knows everyone they often poke fun stating that i am just a nursing student and I am thinking that everything I read I think I have which i feel is insulting. I just dont want to go in and get brushed off again. I was in before for a lump on my leg I still have it and it's getting bigger because they brushed me off at the clinic. what should I do?