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Neurology (Expert Forum)
Very chronic tension-type headache with confusion, dizziness
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Very chronic tension-type headache with confusion, dizziness
by Dbran4024, Nov 11, 2005 12:00AM
Greetings-- 28 yr old male, good health record, I have been diagnosed with a chronic tension-type headache "with some unusual features" as my neurologist put it.
Extensive blood tests normal.
CT brain w + w/o contrast... negative
MRI brain w + w/o contrast... 4 cm lesion suspected fibrous dysplasia adjacent to right orbit with evidence of internal trajeculation (brain compression)
MRI c-spine w/o contrast only... mild-moderate upper-mid level spondylosis
MRA brain and neck w/o contrast only... negative
EEG... no seizure activity but slowing of Delta waves is noted
No spinal tap done yet
Inderal, Topamax, Lexapro,have been no help.
Headache has been constant, unchanging, for 6 months strait, with tension in forehead, and muscles on top of head extending into the back area. Constant swolen turbinates with no evidence of sinus inflamation, the swelling goes down during cardio-vascular exercise and shortly thereafter, only to come right back.
THE WORST SYMPTOM "BY FAR" I have is feelings of confusion. Quite literally feel like I am breathing high doses of nitrous oxide (dental- happy gas).
Also I have random spells of constant, violent dizziness that is normally much worse in the lying-down position. This dizziness lasts for as long as I am lying down, it does not get better or subside over a matter of minutes or even hours, but only gets better when I sit or stand back up.
Would it be a good idea to get a formal opinion from the Cleveland Clinic by sending my films and records in? Cant really afford, but if it would help..
Extensive blood tests normal.
CT brain w + w/o contrast... negative
MRI brain w + w/o contrast... 4 cm lesion suspected fibrous dysplasia adjacent to right orbit with evidence of internal trajeculation (brain compression)
MRI c-spine w/o contrast only... mild-moderate upper-mid level spondylosis
MRA brain and neck w/o contrast only... negative
EEG... no seizure activity but slowing of Delta waves is noted
No spinal tap done yet
Inderal, Topamax, Lexapro,have been no help.
Headache has been constant, unchanging, for 6 months strait, with tension in forehead, and muscles on top of head extending into the back area. Constant swolen turbinates with no evidence of sinus inflamation, the swelling goes down during cardio-vascular exercise and shortly thereafter, only to come right back.
THE WORST SYMPTOM "BY FAR" I have is feelings of confusion. Quite literally feel like I am breathing high doses of nitrous oxide (dental- happy gas).
Also I have random spells of constant, violent dizziness that is normally much worse in the lying-down position. This dizziness lasts for as long as I am lying down, it does not get better or subside over a matter of minutes or even hours, but only gets better when I sit or stand back up.
Would it be a good idea to get a formal opinion from the Cleveland Clinic by sending my films and records in? Cant really afford, but if it would help..
Doctor's Answer
by CCF-Neuro-M.D.-PW, Nov 16, 2005 12:00AM
With all your negative scans (the fibrous dysplasia probably is not related to your headache), the chance that a second review will help is low, but I cannot tell you this for sure - I cannot tell whether sending your information in will help or not. An actual physical visit to our headache center (or another specialized headache center) is probably the best way to deal with the problem and to identify medications to avoid and which might help.
Good luck
Good luck
WHEN I WAS 15 I INJURED MY BACK, DIDN'T GO TO THE DOCTOR, JUST GOT UP AND WENT TO SCHOOL, FELL ON BLACK ICE, HAD TO GET THERE I WAS TAKING MY FINALS AT SCHOOL. TWO YEARS LATER I WAS AN APPRENTICE HAIRDRESSER, I GOT UP OUT OF BED AND COULDN'T WALK. THE THING IS I DID RECOVER FROM FALLING ON MY BACK, BUT UNKNOWNST TO ME I WAS WALKING AROUND WITH A RAISED HIP. WENT TO DOCTOR, MY MUM HAD TO GET A TAXI AND HELP ME INTO THE DOCTORS, THEY SEND ME UP TO THE HOSPITAL AND TAKE X RAYS. WHERE THEY DISCOVERED THAT WHEN I FELL I HAD RAISED THE HIP WHICH CAUSED THE LOWER BACK TO CURVE AND A DISC TO HERNIATE. TWO YEARS I WALKED AROUND FEELING LIKE I WAS WALKING ON WOODEN LEGS, I HAD SCIATICA, JUST DREADFUL PAIN.
I ALSO HURT MY NECK WHEN I WAS 15, ALL AROUND I WAS A RIGHT plo**KER, 20 YEARS DOWN THE ROAD, I AM GOING TO THE DOCTORS BECASUE THEY THINK THAT I MIGHT HAVE MS. THE THING IS THOUGH I DON'T KNOW BECAUSE I HAD THAT INJURY SOMETIMES I HOPE THAT ITS THE INJURIES.
I HAVE NUMBESS IN MY FACE, HEAD, ARMS HANDS, LEGS AND FEET, ALL ACCOMPANIED BY BURNING AND A COLD SENSATION THAT GOES ACROSS MY FOREHEAD. I AHVE PAIN IN MY LEGS. I HAVE MEMORY FOG. VOCAL CORD DYSFUNCTION, FOOD GOES DOWN MY WIND PIPE INSTEAD OF GOING TO MY STOMACH.
ONE THING THAT YOU SAID ABOUT FEELING AS YOU HAVE BREATHED IN DENTAL GAS STRIKES A NOTE WITH ME, YOU COULD BE HYPERVENTILATING WHICH CAN BE QUITE NORMAL WHEN YOU ARE ANXIOUS, HOW IS YOUR BLOOD PRESSURE, IF HTIS IS LOW YOU CAN GET THOSE FEELINGS. IF SO INCREASE YOUR WATER INTAKE, AND MODERATE SALT INTAKE IS GOOD IF IT IS LOW.
I CERTAINLY WOULD GO AND SEE A DOCTOR, DO YOU AHVE A FAMILY MEMBER WHO COULD GO WITH YOU IF YOU ARE HAVING A BAD DAY OR WRITE DOWN YOUR SYMPOMS TO GIVE TO THE DOCTOR AS SOMETIMES MENTAL FOG OR JUST PLAIN STRESS CAN MAKE YOU FORGET EVERYTHING ONCE YOU STEP INTO THE DOCTORS OFFICE, IN ENGALND WE CALL IT WHITE COAT SYNDROME. WELL ANYWAYS GOOD LUCK AGAIN GO SEE SOMEONE,WHEN IT EFFECTS YOUR EVERYDAY LIFE IT AIN'T FUN
I was looking for which gland causes rise in blood sugar ... & checked this thread http://www.medhelp.org/forums/neuro/messages/30314a.html
I suspect the harm they were talking about in this thread could be from a chemical which causes CFS, CFIDS, FM ... www.valdezlink.com/pages/foryourdoctor.htm#for would be signs of direct exposure
Notice info on this link ... that glyconutrients are helpful ...
Check these things for 2-butoxyethanol harm http://www.valdezlink.com/pages/questionnaire.htm
It can cause severe headaches ... I think the nutritional guidelines of researcher Roger J. Williams in which trials for many autoimmune issues are now ongoing ... would be hope for help: glyconutrients. Check the nutrition topic, this forum