What causes severe headache in one spot?

Hi,

Welcome to icliniq.com.

I understand your concern.

To be able to diagnose your problem just by history and sort the differential diagnoses accurately, I need more detailed data. Please consider that two elements in your history are important and urge me to ask more questions:

1. The presence of pulsatile tinnitus.
2. The consumption of the tablet Venlafaxine.

So, kindly answer the following questions:

• Do you have any history of chronic headaches, especially migraine-type headaches (pulsatile headaches, possibly with nausea, vomiting, or sensitivity to light or sounds)?
• Is your new headache nature a stabbing, electric current-like, pulsatile, or tension/pressure-like?
• Do you have any accompanying unilateral red-eye or tear secretion on the side that you feel headache during your short headaches?
• On average, how many times a day do you have such a short-lasting headache?
• Is your headache's location fixed, or does it change its side?
• Does your tinnitus occur at the time that you have a headache, or do they occur separately?
• Is your tinnitus unilateral? If yes, is it side fixed or variable? Is it on the same side as your headache?
• Does your tinnitus change by position or exertion like putting pressure during defecation?

Kindly revert with the answers.

Thank you.

Hello,

Welcome back to icliniq.com.

Considering your responses, it seems that the most probable diagnosis of your pain is a "primary stabbing headache". Nevertheless, as I said before, due to the coexistence of tinnitus and Venlafaxine consumption, I strongly recommend that you be evaluated by a brain MRI (magnetic resonance imaging) and MRA (MR angiography). Meanwhile, you can start night-time melatonin that is available without the need for a prescription. Usually, a primary stabbing headache responds to melatonin.

Thank you.