Migraine can feel like painful throbbing in the back of the head, around the eyes and behind the eyes. Migraine often comes with sensitivity to light, noise, and smells, and with nausea and vomiting
. Most people with migraine prefer to lie down in a dark, quiet room, until the headache passes, which can take many hours.
have to be separated from migrainous headaches. These headaches share many of the same features, such as severity, pulsing and pressurelike pain, but unlike migraine, they are not benign -- they are symptoms of a serious problem affecting the brain, the linings of the brain, the eyes, or other contents of the skull.
Migrainous headaches can be caused by brain aneurysms, tumors, other structural problems of the brain or skull, inflammatory conditions
like giant cell arteritis
or vasculitis, tearing of the lining of the arteries to the brain (called dissection), or tolosa-hunt syndrome, just to name a few causes.
Headaches behind or near the eye
can be caused by optic neuritis
, dental problems, sinus infections or cavernous sinus thrombosis
, among other causes that shouldn't be ignored.
Most serious causes of headache become worse over time, especially if untreated, and would almost invariably lead to severe damage or death.
It is very important to get new, different, or unusual headaches evaluated.