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The carotids are in the front and the vertebrals and basilar artery are in the back of the neck and head. As you walk, these arteries open up to get blood to the brain and if it doesn't work then a headache results. Most of the time, dizziness also occurs.If you are having tinnitus (buzzing or ringing in one ear or both) you need to get to your doctor right away.

I am assuming the physical exam was normal if the person was discharged from the ER.One thing to be careful about is the atypical nature of the headache. True migraine is throbbing at the temples, around the eyes and has nausea and maybe vomiting.
Pain in the back of the head could be related to the vertebral or basilar arterties.If this patient came to our practice we probably would do an MRI and MRA just to view the arteries.

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31.01.2014 admin

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