I want to include all pertinent details. I am: optometrist, 32 y/o male,in Santa Barbara, CA. No meds, no Phx, Fhx HA or migraines, healthy and physically very active. I went to Dominican Republic for volunteer mission may 26-june 11, 06. I took chloroquine malaria prev tx. On the night of return(june 11): severe spinning/vertigo resolved next am after sleeping face-down. I went hiking (++ mosquitos, tics) June 30 in mountains.
July 4, 06: pressure headache began mild, progressed to severe in 5 days. mild imbalance (feeling of falling, floating on sea, etc.) No fever. PCP dx: side effects chloroq. Previous. vertigo dx was sec. to air travel.
July 7: sxs persist: 2nd PCP dx:viral meningitis, no tests ordered. Same day neuro consult: same dx, MRI with contrast ordered, results normal. Neuro workup in office normal. no LP or other testing done. TX: 4 day steroid: medrone.
August 7:sxs same, like roller coaster, from mod to severe HA, dizziness, nausea (NO VOMITING OR FEVER EVER) varying throughout day, cycles of 2-3 days. Mild fatigue, confusion, and muscle ticks noted. CBC ordered: normal
Aug 26:2nd Neuro dx same (suspectd viral mening); tx ibuprof, vicodin, valium, temazepam, meclizine indefinitely, no tests ordered.
After 2 months of CONTINUOUS headache and imbalance(dizziness) varying cyclicly, no sign improvement just wax and wane, saw 2 PCPs, 2 neurologists, no definitive DX made. Please advise if I should seek another opinion, specific tests, LP, or a specialist. What other diff. DX should be considered : lyme's, cholorquine side effects, or?