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Does he have other symptoms other than throbbing pain with these headaches, e.g., vision changes, nausea/vomiting, heightened sensitivity to light and sound, a sensation that the headache is about to occur?
I have had one patient with pain at the very top of his head that was due to a nasal sinus infection (sinusitis); fortunately, he responded quickly to antibiotics. The symptoms I asked about in the prior post are found with classic migraine; unfortunately, there are other types of migraine and headaches that are not as easily recognized. If vision and sickle trait have been ruled out as causes, then his primary care physician or a neurologist (nervous system specialist) can perform a proper headache evaluation.