Seek Emergency Care If You Have:
- Worst headache of your life (thunderclap)
- Sudden severe headache reaching maximum intensity in seconds
- Headache with fever and stiff neck
- Headache with confusion, weakness, or vision changes
- Headache after head trauma
- New headache in someone with cancer or HIV
Call 911 or go to the nearest emergency room immediately.
Common Causes
Headache can have many causes, ranging from minor to serious:
Diagnostic Tests for Headache
Brain MRI
Detailed images of brain tissue, blood vessels, and structures
When used: Persistent headaches, new headaches after 50, or concerning symptoms
Head CT Scan
Quick imaging to rule out bleeding, stroke, or mass
When used: Emergency evaluation of sudden severe headache or trauma
MRA (MR Angiography)
MRI of brain blood vessels to detect aneurysms
When used: Family history of aneurysm or thunderclap headache with normal CT
Lumbar Puncture
Analyzes spinal fluid for infection or bleeding
When used: Fever with headache, or to rule out subarachnoid hemorrhage
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When to See a Doctor
See a doctor if headaches are new or changed pattern, occur more than 15 days per month, or dont respond to OTC medications. Seek emergency care for thunderclap headache (worst ever), headache with fever and stiff neck, or headache with confusion or weakness.
What to Expect
Primary headaches (migraine, tension) are diagnosed based on symptoms and dont need imaging. Imaging (CT or MRI) is ordered for concerning features, new headaches after age 50, or symptoms suggesting structural problems. MRI is preferred for non-emergency evaluation.
Frequently Asked Questions
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