Strange head pain for 3 days advice please?

[Siera02]

Hi all:) My name is Siera I am 29 years and I have been suffering with this strange head pain for a couple of days now. I am not stranger to headaches in fact I had one month before last for about 2 weeks straight. I had a brain MRI WO contrast and it was normal other then having some mild sinus buildup. 2 things are strange about the headache I am having now, one is the location. It starts in the back of the right hand side where the base of the skull is and right side of neck and at times it shoots up through the right side of my head in a straight line. Its not bring me to my knees pain but it does hurt. I cant really describe the pain, it kind of feels like an IV being threaded through my vein if that makes any sense. I am concerned but I had the negative MRI so I dont know thats it serious. I have also been having pre-syncope issues since the end of May I have had 4 episodes of where I feel like I am going to pass out.. I have been through testing and no one is to sure where it is coming from. I have arrhythmias but the cardio assures me that my heart is normal. Still he is not for sure if its causing me to feel this way. Its a very scary feeling. So I guess I am a little worried with this new headache and this other issue.

Should I worry if I had a normal MRI? Should I go to the ER or just follow up with my primary doctor?

Thanks

[Dr Santos]

Hi,
How are you? Aneurysm is caused by balloon-like weakness or bulge in blood-vessel wall. leading to sudden, unbearable headache, double vision, and rigid neck. This can be diagnosed with imaging studies such as MRI.  Further cardio tests including tilt table test may indeed help determine the underlying cause. Do keep us posted with the results of these tests. Take care always.

[Siera02]

Hi there and thank you for your response. I am still having this head pain on and off. Would the MRI be able to rule out an un ruptured aneurysm? I have never had a headache like this before and I am afraid something is going to bust open in my head.

I take pain medication daily for something else and I am worried it is masking my pain. The pain is pretty bad but it only last for seconds off and on through the day. I am really worried..

Is regards to the near fainting my cardio does not seem to think its my heart so I went back to the EP doctor I saw in 2006 for an EP study, which they were suppose to an ablation for SVT but were unable to provoke it long enough. The EP doctor is getting me a cardio net monitor and ordered a tilt table test even though my issue does not happen changing positions. I hope all checks out ok.

[Dr Santos]

Hi Siera,
How are you? It is good that the MRI was normal. This means that the headache may be caused by primary headaches such as migraine, tension or cluster headache. With regards to your presyncope, this is usually caused by decreased blood flow to the brain due to failure of the heart  to pump the blood;  the blood vessels don't have enough tone to maintain blood pressure to deliver the blood to the brain; or there is not enough blood or fluid within the blood vessels. Having through some tests with your cardiologist help rule out cardiac causes. You may benefit from further evaluation by your doctor if the symptoms persist. Take care and do keep us posted.

[Siera02]

Anyone have any advice?