Occipital headaches Migraine Headaches [8] neck, shoulder and jaw pain difficulty swallowing, or the sensation of being choked tenderness at base of skull feeling of 'bobble-head', where the skull may 'fall off' the spine photophobia double or blurred vision tinnitus tremors orthostatic intolerance vertigo or dizziness palpitations shortness of breath nausea fatigue Lhermitte's sign cognitive and memory decline clumsiness and motor delay fainting weakness of the limbs