Sudden Severe Pain on Right Side of Head: Possible Causes and Next Steps - Neurology

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Sudden severe pain on one side of the head, especially when accompanied by visual disturbances such as flashes of light, can be concerning and warrants careful consideration. Based on your description, it seems that you experienced a sudden, intense pain near the temple area on the right side of your head, which then subsided to a dull ache, followed by visual symptoms. This combination of symptoms can be indicative of several potential conditions, and it is essential to approach this situation with caution.

One possible explanation for your symptoms is a migraine, particularly a type known as a "migraine with aura." Migraines can present with unilateral head pain, often accompanied by visual disturbances such as flashes of light or zigzag patterns in the vision. The pain can be severe and is often described as throbbing or pulsating. The aura phase, which can include visual symptoms, typically occurs before the headache begins but can also occur during the headache. However, it is important to note that not all migraines present with auras, and some individuals may experience them sporadically.

Another possibility is a tension-type headache, which is characterized by a feeling of tightness or pressure around the head. However, the sudden onset of severe pain and the associated visual symptoms are less typical for tension headaches.
Given the sudden nature of your pain and the accompanying visual disturbances, it is crucial to rule out more serious conditions, such as a transient ischemic attack (TIA) or a stroke. TIAs can present with sudden neurological symptoms, including unilateral weakness, speech difficulties, and visual changes. While you mentioned that you performed some self-tests (like raising your arms and standing on one leg) without issues, it is still important to consult a healthcare professional for a thorough evaluation.

In terms of next steps, it is advisable to seek an appointment with a neurologist. A neurologist specializes in disorders of the nervous system and can provide a comprehensive assessment of your symptoms. They may recommend imaging studies, such as a CT scan or MRI of the brain, to rule out any structural abnormalities or vascular issues. Additionally, they may conduct a thorough neurological examination and take a detailed medical history to better understand your symptoms and any potential triggers.

In the meantime, it may be helpful to keep a headache diary, noting the frequency, duration, and characteristics of your headaches, as well as any associated symptoms. This information can be valuable for your healthcare provider in determining the underlying cause of your headaches and developing an appropriate treatment plan.

Lastly, it is essential to prioritize your overall health and well-being. Ensure you are getting adequate sleep, managing stress, and maintaining a balanced diet. Certain lifestyle modifications, such as regular exercise and hydration, can also contribute to headache prevention.

In summary, while your symptoms may suggest a migraine or tension-type headache, the sudden onset and visual disturbances necessitate further evaluation by a neurologist to rule out more serious conditions. Please do not hesitate to seek medical attention, as timely intervention can be crucial in managing your symptoms effectively.