<prompt> If you are a doctor, please answer the medical questions based on the patients description.When I cough or sneeze I experience a sharp shooting painpressure sensation just above the left temporal that radiates along the left pariatal and ends around the posterior partial region. It lasts for a few seconds to about half a minute. I am concerned because the pattern is always the same and seems to follow a major branch of the medial meningeal artery. I have not yet been evaluated for this concern.  <response>: Hi, While temporal arthritis, elevated blood pressure, sinus congestion are all common causes, both personally, and professionally I have to say, mostly this just happens to a lot of people because the cough increases pressure in that area and there can be pressurespasm on muscles in the neck. And there doesnt have to be anything wrong to cause this. I hope this answers your query. I remain at your disposal in case further medical assistance is needed. 