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Neurology  (Expert Forum)
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Bulging on forehead
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Bulging on forehead

by niks, Mar 23, 2006 12:00AM
My wife is 28 yrs. She has a bulging (less than 1cm) on her left forehead (just above the eyebrow) we noticed it almost 3 yrs back, it bulges when she gets headache or vise versa. Especially she cries it bulges little bit bigger. It was once in a while only but now for the last few days she has headache every afternoon (she gets headache on the surrounding of that bulging only) with slight nausea feeling. She has chest discomfort and leg pain too. Some times bad smell is coming from her nose, she doesn’t have any sinus problem. We haven’t gone to a doctor but a year back on her pregnancy time we told to the doctor but she just neglected. I am really worried, appreciate your advise.

by CCF-Neuro-M.D.-PW, Apr 25, 2006 12:00AM
I cannot give you a clinical diagnosis over the internet, as this site is purely educational, and the main way of diagnosing this is by looking at and examining it.



It is unlikely to be neurological in nature, unless there is some sort of sinus tract/connection to the sinuses or spinal fluid space. The fact that it becomes bigger with bearing down, coughing, etc can mean that there is some connection to the venous system.



I suggest you see a doctor such as a dermatologist who will be able to hopefully give you a diagnosis.



Good luck
Member Comments (23)

by Jmcc06, Mar 23, 2006 12:00AM
To: niks
Do not worry, fear will get you nowhere. You need to see your family physician to get a ref to a neurologist who will probably order an MRI to see what the problem is unless he can give a clinical dx.

It is not a hallmark sign of any serious condition.



Good Luck!

Jmcc.

by niks, Mar 24, 2006 12:00AM
To: Jmcc.
Thank you very much for your comment, Definitely we will go to a doctor, but that will take some times as there is no good doctors available where we live now. My question is

1. Do you think that is a sign of 'Osteoid osteoma’? if yes, how come it bulges when she cry?

by who_is_this, Mar 24, 2006 12:00AM
Please remember that THE NEUROLOGIST here has not answered your question...just someone who has taken up neurology as a "hobby".



Just want everyone to bear that in mind.  Not that we can't all learn from each other, but some folks seem to be taking the advice giving to the extreme.  



There is ONE neurologist giving advice on this forum...and that person is not Jmcc PhD.  His/her comments should be taken in the context of internet anonimity.  No one really knows his/her credentials.

by Jmcc06, Mar 24, 2006 12:00AM
To: who is this
I think that your remarks are inflamatory and overboard. I have made it clear that I am not a neurologist but that I am a doctor of organic chemistry.

I have aptly made it clear that my advice is lay, look at all of the boards.

As well, it is obvious that I am not a neurologist to this person because when a neurologist answers you will see A:

The knowledge that I have gained is not opinion it is fact. I tell people what their symptoms could POSSIBLY mean not what accounts for them.

I do not appreciate your remarks which are "extreme."

by flyin2006, Mar 25, 2006 12:00AM
To: who is this
I totally agree with you. Jmcc is answering almost every forum question as if he is the forum neurologist. This can be dangerous "as a hobby" to patients who are often desperately in search of answers. Jmcc, you are obviously bright, intelligent, articulate but you are NOT a medical doctor and you may be getting carried away with this at the expense of others.

by Jmcc06, Mar 25, 2006 12:00AM
To: both of you
hobby.

First of all I have been through all of the ranks and was misdiagnosed with MS as I have Lyme.

I have made it clear that I am not a doctor to all people. I am affected by this personally and I care thus I am trying to save people from the fear that is given them by unsure doctors.

I am hurt by the both you, but understand that you have issues regarding me.



Jmcc.

by flyin2006, Mar 25, 2006 12:00AM
To: jmcc phd
Actually, you have instilled some fear in the patient yourself by making statements such as, " There are alot of quacks out there". As a Registered Nurse for 30 years , I have yet to meet a true "quack". I have met a rare MD whose pride had gotten in their way. For the even rarer mistakes I've seen, the MD was not a "quack" , just merely made an error. I know of no physicians who have ever set out to purposely harm the patient. To dismantle a doctor-patient relationship because you yourself have been "burned" is not the thinking of an objective scientist.

And, by the way, why aren't you in medical school??? Medical school would be a far better use of your smarts than toying with medicine on here. ( I know you are only 27 or 28 )

by Jmcc06, Mar 25, 2006 12:00AM
To: nurse
Who said the I am not in medical school? Why do you know my age and why do you care? The information that I provide aside from my opinions is medical fact. Look it up!

As well, this forum is not for this. You have your opinion and find my approach offensive. You think that these people cannot deduce for themselves if my opinion is of value to them, and I find that offensive.

I will not be responding to you in any forum, nor other person. I know for a fact that there are many prideful doctors (my definition of quack) who harm their patients thus create fear. There is not enough information out there. Your 30 years in a specific location is not sufficient epistemology to make your deduction. Try reading.



Have a nice day.

Jmcc.

by Jmcc06, Mar 25, 2006 12:00AM
To: niks
To date I have read and studied very little on this condition and from what I have read I do not see it there.

Your best bet is to not guess but to see your family doctor and to go from there.

My opinion is lay.



Regards,

Jmcc.

by flyin2006, Mar 25, 2006 12:00AM
To: JmccPHD
OKAY. ENOUGH. I will get censored, but you, my dear, are a POMPOUS ***. Period. YOu are 27 or 28 as you have already disclosed that fact. Find some other poor souls who think as you...that you are JC not Jmcc.

by flyin2006, Mar 25, 2006 12:00AM
To: jmcc phd
What? Medical student , too lowly a position for you that you can't admit it?

by flyin2006, Mar 25, 2006 12:00AM
To: niks
Forgive the forum "war". Sounds like an MRI and MRA, with and without contrast will be needed to resolve your questions. Are you in a country outside of the United States?

by Jmcc06, Mar 26, 2006 12:00AM
To: Niks
Niks,

  I am sorry that I could not give you a more definite possibility yesterday, as I needed some rest for monday. This morning I took a look at the books and have come up with the following possibilities that could be clinically explicable to the "buling" and other symptoms you describe.

   It could possibly be asymptomatic (generalis) sinusitis of the paranasal air sinuses, squamous cell carcinoma, or Squamous cell carcinoma of the frontal sinus caused osteomyelitis of the frontal bone, and whatever causes her fevers/illness, could be the cause of the myelitis. It is important to note all of her symptoms not assuming that they do not go hand in hand or may seem not important. My suggestion is that you sit down with your wife and go from body part to body part thinking of different sensations or symptoms that pertain localized.

    Does her "bulging" on the forehead have redness, irritation, and tenderness as well as fluctuation? I do not have answers beyond this and wish you both the best of luck. I suggest that you see your physician as soon as possible.



Regards,

Jmcc.

by flyin2006, Mar 26, 2006 12:00AM
There you go...nothing like using the word "carcinoma" to upset a family. You are not an MD. I will not be using this website for information anymore. But letting you know how I feel was worth the disruption. Again, you are not a MD and have no business practicing your "hobby" on people. This family needs to hear from the Forum Neurologist, not you.

by Jmcc06, Mar 26, 2006 12:00AM
To: "nurse"
I am sorry but my question to you is this.

The person is looking for possibilities and answers. They ask the neuro and others on here for clues, and so on.

I mention that it could be this or could be that but that I do not know because my opinion is lay WHICH IS STATED VERY CLEARLY.

Most people on here think that they have the worst of the worst and almost always I offer lesser solutions that could be possible. Carcinoma was not the main point to my response. But, if they do not know how serious this could be will they rush to the docotor?

Also, have you noticed that people have posted questions that have gone days without response? Thus if it is serious and they do not know how dangerous telling them to go to a doc which is what I did is not out of line.

You are an angry person who wishes to find someone smarter than herself and to pick on them. You are the attacker as I have merely responded to your attacks.

You have been the deceiver and the confuser. Look at the other posts as I always give alternative possibilities to the worst case scenario.

Perhaps you need to spend more time with your family. I am a single student who has time to try and assist people who are looking for answers before they see their physician and they come looking for the answers.

I most certainly am sure that you will be on this site much longer than I will because people like you, lonely people, do things such as this. Start fights and dramma.

I will continue to help as long as I know how, and will continue to say LAY OPINION as I have always said.



Regards,

Jmcc.

by Jmcc06, Mar 26, 2006 12:00AM
To: Niks
The "nurse" has a point. My note to you was too clinical and not clear.

I personally doubt that your wife has carcinoma but feel that this is serious enough to get looked at. Serious does not mean death it means that it could become worse.

This could simple be a hidden sinus problem or asymptomatic migrain as well.

I could be a immuno response to a bug bite.

I did not mean to scare you, but I think due to the quote n