▁ble eding ▁inside ▁the ▁brain ▁( int rac ran ial ▁hem or rh age ) ▁ ▁sub ar ach no id ▁hem or rh age ▁( ac ute , ▁severe ▁head ache , ▁st iff ▁neck ▁without ▁fe ver ) ▁ ▁ru pt ured ▁an eur ys m , ▁ar ter i oven ous ▁mal formation , ▁int ra par en ch ym al ▁hem or rh age ▁( head ache ▁only ) ▁ ▁brain ▁tum or : ▁d ull ▁head ache , ▁worse ▁with ▁ex ert ion ▁and ▁change ▁in ▁position , ▁accompanied ▁by ▁n ause a ▁and ▁vom iting . ▁O ften , ▁the ▁person ▁will ▁have ▁n ause a ▁and ▁vom iting ▁for ▁weeks ▁before ▁the ▁head ache ▁starts . ▁ ▁temporal ▁ar ter itis : ▁infl am mat ory ▁disease ▁of ▁ar ter ies ▁common ▁in ▁the ▁elder ly ▁( aver age ▁age ▁ 7 0 ) ▁with ▁fe ver , ▁head ache , ▁weight ▁loss , ▁j aw ▁cla ud ic ation , ▁tender ▁vessels ▁by ▁the ▁tem ples , ▁polym yal gia ▁r he um atica ▁ ▁ac ute ▁closed ▁angle ▁gla u com a ▁( in cre ased ▁pressure ▁in ▁the ▁e y eb all ): ▁head ache ▁that ▁starts ▁with ▁eye ▁pain , ▁bl ur ry ▁vision , ▁associated ▁with ▁n ause a ▁and ▁vom iting . ▁On ▁physical ▁exam , ▁the ▁person ▁will ▁have ▁a ▁red ▁eye ▁and ▁a ▁fixed , ▁mid ▁dil ated ▁pup il . ▁ ▁Post - ict al ▁head aches