Q. After lying on stomach for 20 minutes, I get most intense headache. Is this brain aneurysm?

Answered by
Dr. Upendra K Shah
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on May 24, 2020

Hi doctor,

I was lying on my stomach for about 20 minutes. When I moved to a seated position, I get the most intense painful headache of my life. It was in both my temples and lasted about a minute. Should I worry it is a brain aneurysm?

 

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Hi,

Welcome to icliniq.com.

This pain seems to be due to vasospasm, unlikely to be aneurysmal bleed pain, if it was aneurysm it should have continued for a long duration. I have another set of questions, please answer them.

Is this first ever headache of this kind? Was there nausea, vomiting, and dizziness? Was there any blurring of vision? Are the temples painful on touching? Is there any weakness in limbs or double vision?


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Thank you doctor,

What is vasospasm? I have a little bit of nausea after but it went away. Yes, this is the first headache of this kind ever. No pain in temples now and everything else is fine. Could it have been positional or a type of head rush headache?

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Hello,

Welcome back to icliniq.com.

Vasospasm is the constriction of blood vessels, which is usually seen in migraine headaches. This could be a benign headache since it lasted for just minutes and there were no additional features.

This headache cannot be classified in any type of headache, at this moment and I do not see any reason to be concerned. I recommend you to monitor and follow up for the symptoms. Meanwhile, please get an appointment with your doctor, and direct communication may give some clue for the possible reason.


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Thank you doctor,

Today, I have had headache over the right eye and I think it could be sinus related as I have allergies. Additionally, I keep yawning constantly but have had adequate sleep and I am not tired. Out of curiosity does aneurysm pain affect both sides of temples or just one? I think it may be sinus related but no idea why I keep yawning with it. Can yawns be linked to headaches?

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Hello,

Welcome back to icliniq.com.

Sinus related headache is possible as you said. Excessive yawning may be due to headaches or maybe drug induced since you are on Clomipramine.

Aneurysm pain usually starts from one place then build up and affects both sides or affects the whole head gradually over 1 hour. It can start abruptly all over the head but it will never be just for minutes.

Excessive yawn and headache, one possibility I can think of maybe drug induced or starting of primary headache such as migraine which is in the evolving phase.


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