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Pain Management

Severe Migraine or Stroke



I am a 23 year old female who was diagnosed with migraines at age 15. Today I felt as though I had a sinus headache (not a migraine), and took Sudafed and Aleve. Soon afterward however, I got this thunderclap headache that made me scream out, and I have been in severe pain since then. The pain is also in my neck and along my upper (outer) arm. Is this a migraine or cluster headache or stroke?



Please, seek medical attention urgently. I am very concerned about your recent headache. You must be seen now at the closest Emergency room for immediate CT scan and evaluation by the emergency room physician.

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Response by:

Yousef  Mohammad, MD, MSc Yousef Mohammad, MD, MSc
Assistant Professor
Director, Stroke Fellowship Program
College of Medicine
The Ohio State University