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Neurology (Expert Forum)
small hemmorage or something else perhaps?
This forum is for questions and support regarding neurology issues such as: Alzheimer's Disease, ALS, Autism, Brain Cancer, Cerebral Palsy, Chronic Pain, Epilepsy, Fibromyalgia, Headaches, MS, Neuralgia, Neuropathy, Parkinson's Disease, RSD, Sleep Disorders, Stroke, Traumatic Brain Injury
small hemmorage or something else perhaps?
by ribrob, Jan 28, 2006 12:00AM
Doctor, I have been experience very concerning symptoms. I have seen 3 neuro's including a headache specialist at a school of medicine. 28 yr white male. MRI, MRV, CT, EEG, sed rate 0, TSH 2.6, normal t4, Lyme, Lupus, HIV, liver function, ANA, have all been checked normal..
Please pay close attention to the fine details...
1) For the PAST YEAR, constant, unchanging pressure deep in my head, tension in forehead area, not throbbing, not made worse by exercise. More than "just a headache", it causes visual focus problems on such things at moving cars, TV, and people's movements. I pass the "finger movement" test every time, but I would imagine if I had it worse that I would start failing this test.
2) In the PAST FEW MONTHS I've been waking up occasionally with migraine symptoms-throbbing severe pain worse with movement, sensitive to light, nausea and/or vomiting. It allways starts when I wake up, and it lasts half a day but the effects still linger for the rest of the day. BUT THEN ITS RIGHT BACK TO #1
3)severe knee cramps at night improved with movement (working it out). Spontaneous sharp pains in wrists and ankles so bad its hard to walk or use effected hand <<(not very common but it happens), small muscle twitches such as eyelids
Should I have an LP done for hemorage during a "migraine" due to my other constant symtoms? Should I have an LP at all? What would a PETscan reveal related to brainfog or disconnected feelings, or other sypmtoms? Barring all financial considerations please what tests should be run on me now? I eagerly await your thoughts sir thank you
Please pay close attention to the fine details...
1) For the PAST YEAR, constant, unchanging pressure deep in my head, tension in forehead area, not throbbing, not made worse by exercise. More than "just a headache", it causes visual focus problems on such things at moving cars, TV, and people's movements. I pass the "finger movement" test every time, but I would imagine if I had it worse that I would start failing this test.
2) In the PAST FEW MONTHS I've been waking up occasionally with migraine symptoms-throbbing severe pain worse with movement, sensitive to light, nausea and/or vomiting. It allways starts when I wake up, and it lasts half a day but the effects still linger for the rest of the day. BUT THEN ITS RIGHT BACK TO #1
3)severe knee cramps at night improved with movement (working it out). Spontaneous sharp pains in wrists and ankles so bad its hard to walk or use effected hand <<(not very common but it happens), small muscle twitches such as eyelids
Should I have an LP done for hemorage during a "migraine" due to my other constant symtoms? Should I have an LP at all? What would a PETscan reveal related to brainfog or disconnected feelings, or other sypmtoms? Barring all financial considerations please what tests should be run on me now? I eagerly await your thoughts sir thank you
Doctor's Answer
by CCF-Neuro-M.D.-PW, Jan 31, 2006 12:00AM
Although I cannot make a neurological diagnosis or opinion over the internet, the fact that you are young and have normal imaging and tests make the likliehood of neurological disease very remote.
Headaches on the other hand are very common, including in young people. Migraine does not have to be throbbing or worse with exercise as it classically described, and the nausea etc support migraine. Headache on waking assocaited with vomiting can generally provoke a suspicion of a mass lesion in the brain, but you have already had brain MRI which rules this out. Cramps and muscle twitches are likely not related to the headache.
To answer your questions, migraine does not cause hemorrhage during an attack of migraine, and there is no diagnostic test for migraine on the LP.
There does not seem to be a clear reason for an LP - although I do not know your full case, so I cannot tell this for sure. If there is any postural component to the headache ie worse when you stand up, then a spinal fluid pressure measurement would be useful - of the headache is worse, and the pressure is low, there could be a spinal fluid leak somewhere, which could be diagnosed and dealt with.
An MRV might be revealing but you have already had this done as well. Perhaps treatment for chronic headache from a headache specialist might prove to be both a diagnostic and therapeutic way to go.
Headaches on the other hand are very common, including in young people. Migraine does not have to be throbbing or worse with exercise as it classically described, and the nausea etc support migraine. Headache on waking assocaited with vomiting can generally provoke a suspicion of a mass lesion in the brain, but you have already had brain MRI which rules this out. Cramps and muscle twitches are likely not related to the headache.
To answer your questions, migraine does not cause hemorrhage during an attack of migraine, and there is no diagnostic test for migraine on the LP.
There does not seem to be a clear reason for an LP - although I do not know your full case, so I cannot tell this for sure. If there is any postural component to the headache ie worse when you stand up, then a spinal fluid pressure measurement would be useful - of the headache is worse, and the pressure is low, there could be a spinal fluid leak somewhere, which could be diagnosed and dealt with.
An MRV might be revealing but you have already had this done as well. Perhaps treatment for chronic headache from a headache specialist might prove to be both a diagnostic and therapeutic way to go.
Member Comments (2)
by ribrob, Jan 28, 2006 12:00AM
I guess I should have listed this topic as "headaches" but I'm not sure how to change that now. thank you again.