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Unlike a migraine, thunderclap headaches seem to come on suddenly. The pain grabs your attention in the same way a clap of thunder does. You can feel pain anywhere on your head or neck. You may even feel it in your back. You might also have several other symptoms, including: Changes in vision. Confusion. Nausea.
Some thunderclap headaches appear as a result of no obvious physical reason. In other cases, potentially life-threatening conditions may be responsible, including: Bleeding between the brain and membranes covering the brain, often due to an abnormal bulge or ballooning in a blood vessel (aneurysm)