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Head conditions

The fourteen head conditions treated at this clinic — headaches, dizziness, and the nerves of the face and brain — grouped by kind. If you are not sure which is yours, start with what you notice: the table below points you to the right page.

A doctor pointing with a pen at brain scan images on film, with a patient's clasped hands on the desk opposite.
Most headaches are not dangerous
And most never need a scan or an operation.
Dizziness is four different things
Which kind it is decides what it needs.
A few signs are emergencies
A stroke, or a sudden, severe headache, needs an ambulance, not an appointment.

Start with what you notice

Head conditions are easiest to tell apart by what you notice. Find the line closest to yours, and start with that page.

What you noticeStart with
Headaches, and you are not sure which kindHeadaches (all types)
Recurring migraine attacksMigraine
A tight band around the head, on both sidesTension headache
Severe one-sided pain around the eye, in bouts at the same time each dayCluster headache
Headache on one side, worse when you move your neckCervicogenic headache
Visual disturbance, numbness or speech trouble, without the headacheSilent migraine
Vertigo, with or without a headacheVestibular migraine
Spinning, lightheadedness, unsteadiness or near-faintingDizziness and vertigo
Electric-shock pain in the face, set off by touch or chewingTrigeminal neuralgia
Facial weakness with a rash on the earRamsay Hunt syndrome
Symptoms after a knock to the headConcussion
An aneurysm found on a scanBrain aneurysm
Recovering from a stroke, or lowering your riskStroke
Tics in a child, or Tourette syndromeTic disorders

Call 995 now if someone's face droops, an arm drifts down, or their speech is slurred or strange — any one of these can be a stroke — or for a sudden, severe headache reaching full intensity within a minute, often described as the worst of your life, which can be a ruptured brain aneurysm. Go to an emergency department today for a headache with fever and a stiff neck, or after a head injury with drowsiness or vomiting — see headaches for the full list.

Headache and migraine

  • Headaches (all types) — migraine, tension, cluster and cervicogenic headache compared, and the warning signs
  • Migraine — no cure, but highly treatable; the four phases, triggers and treatment
  • Silent migraine — migraine aura without the headache, which can mimic a stroke
  • Vestibular migraine — vertigo rather than head pain; about half of episodes have no headache
  • Cluster headache — severe one-sided pain around the eye, in bouts at the same time each day
  • Tension headache — a tight band around the head, on both sides
  • Cervicogenic headache — head pain referred from the neck, worse with neck movement

Brain, face and balance

  • Stroke — the FAST signs, the two main types, and care after the acute event
  • Brain aneurysm — what a sudden severe headache means, and what to do if one is found unruptured
  • Concussion — the warning signs after a head injury, recovery, and returning to sport
  • Dizziness and vertigo — four different things called dizziness, and which need a brain scan
  • Trigeminal neuralgia — electric-shock facial pain, often mistaken for a dental problem
  • Ramsay Hunt syndrome — facial paralysis with an ear rash, where treatment within 72 hours matters
  • Tic disorders — including Tourette syndrome; most tics in children settle within a year

Treatments for head conditions

Most head conditions are treated without surgery, with medication, lifestyle changes and time. For headache and nerve pain that medication has not controlled, neuromodulation changes how a nerve sends its signals, rather than cutting or destroying it — including occipital nerve treatments for migraine and cluster headache, and treatment for trigeminal neuralgia.

Who you will see

Head conditions here are seen by Dr Mathew Tung, a neurosurgeon whose practice covers brain, spine and nerve conditions and headache and migraine, as well as head injury and concussion. He has practised since 1984, and specialised in neurosurgery since 1991.

See neurosurgery at this clinic for more on what he treats.

Common questions

Do I need a brain scan for my headaches?

Usually not. Most headaches are not dangerous and never need a scan. One is arranged when a headache has warning features — for example, coming on suddenly, or with new weakness, numbness or confusion.

Why see a neurosurgeon for headaches?

Dr Mathew Tung's practice includes headache and migraine, including nerve treatments when medication has not helped. Most people seen for headaches never need an operation.

Can migraine be cured?

There is no cure, but migraine is highly treatable, with preventive treatment and, when that is not enough, nerve treatments. See migraine.

Is all dizziness the same?

No. Vertigo, lightheadedness, unsteadiness and near-fainting are four different things, and which one you have decides what is needed. See dizziness and vertigo.

Could my face pain be a nerve rather than a tooth?

It can. Trigeminal neuralgia causes electric-shock pain in the face, set off by touch or chewing, and is often mistaken for a dental problem. See trigeminal neuralgia.

Do I need a referral to see a specialist for head conditions?

No. Bring any scan reports, a note of when your symptoms started, and a list of the treatments you have already tried.

Related

All conditions · Neurosurgery · Spine and neck conditions · Neuropathic pain

Book a consultation

Not sure which condition fits? Book a consultation — working out the cause is what the first visit is for.

Book an appointment Call +65 8849 0677
Address
6 Napier Road, #02-10
Gleneagles Medical Centre
Singapore 258499
Phone
+65 8849 0677
Mon–Fri
9:00 am – 5:30 pm
Saturday
9:00 am – 1:00 pm
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