Brief Answer: Ice-Prick Headache. Please answer for my doubts. Detailed Answer: Hello, I have gone through your query and understand your concern. These symptoms which you are facing now look like you are suffering from Ice Pick Headaches. But to rule out other possible causes, I would like to have few answers. Did you have any nausea or vomiting before or during the episodes of headache? Do you have any running nose or sinus problems? Do you have giddiness or vertigo? Do you have any ear or eye problems? Have you ever had similar problem in fast? The Blood pressure of 135/90 usually does not cause headache. Very high blood pressure can cause Headache. But not this type of headache. Waiting for your response.

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Brief Answer: TGN usually by triggers. Need Neurological examina Detailed Answer: Hi, Thanks for your reply. As you suspected, the pain may be due to Trigeminal neuralgia. Both trigeminal neuralgia and Ice pick share the common features. But Trigeminal neuralgia is most frequently triggered by washing, shaving, smoking, talking and/or brushing the teeth. There is no such trigger factors in Ice Pick Headache. More over trigeminal neuralgia usually affect the chin and cheek. But both should be concluded only after thorough neurological and local physical examination. If there is any neurological findings, this should be ruled out by further investigations like MRI and CT scan and nerve studies. Thus you need thorough neurological examination and further investigation to rule out any neurological cause. Hope this helps. Please write back for further queries. Wishing you good health.

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