Differential Diagnosis for a Right Temporal Headache Lasting Three Days
Single Most Likely Diagnosis
- Tension Headache: This is the most common type of headache and can be caused by stress, muscle tension, or poor posture. The temporal region is a common location for tension headaches, which can last from 30 minutes to several days.
Other Likely Diagnoses
- Migraine: Migraines can cause severe, unilateral headaches that may last for several days. They are often accompanied by other symptoms such as nausea, vomiting, and sensitivity to light and sound.
- Cluster Headache: Cluster headaches are severe, unilateral headaches that occur in clusters or cycles. They often affect the temporal region and can last for several days.
- Temporal Arteritis: This is an inflammation of the blood vessels in the temples, which can cause headaches, jaw pain, and vision problems. It is more common in older adults.
- Sinusitis: Inflammation or infection of the sinuses can cause headaches, facial pain, and nasal congestion. The right temporal region can be affected if the right maxillary or frontal sinuses are involved.
Do Not Miss Diagnoses
- Subarachnoid Hemorrhage: A life-threatening condition caused by bleeding into the space surrounding the brain, which can cause a sudden, severe headache. Although it is less likely to cause a headache lasting three days, it is crucial to rule out this condition.
- Temporal Lobe Abscess: A rare but potentially life-threatening condition caused by a bacterial or fungal infection in the temporal lobe of the brain.
- Giant Cell Arteritis: A condition that causes inflammation of the blood vessels, which can lead to headaches, vision loss, and jaw pain. It is essential to diagnose and treat promptly to prevent complications.
Rare Diagnoses
- Trigeminal Neuralgia: A chronic pain condition that affects the trigeminal nerve, which can cause severe, stabbing pain in the face, including the temporal region.
- Hemicrania Continua: A rare headache disorder characterized by a continuous, unilateral headache that can last for months or even years.
- Temporal Bone Tumor: A rare tumor that can cause headaches, hearing loss, and facial weakness, depending on the location and size of the tumor.