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headache
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headache

Two months ago I had persistant headache mostly in the back of my head which lasted for two weeks.When I would wake in the morning I had headache mostly in back of the head.I noticed when I would read something which needed concentration pain would come and would be higher.Also when turning head there would be more pain.This pain was unusual for me,because I usually do not have headaches and if I do it is once in two or more years and it lasts several hours at most and than goes away.I went to ER,becuse I worried that I might have had an hemorrhage stroke and told them what I told you,they examined me for signs of stroke,but did not do CAT,MRI or any blood tests and I was released the same day and told to follow up with my doctor.I am healthy in my late 40s male and I don't have any chronic diseases,like high blood pressure,diabetes etc.Now I don't have any headaches,but I wonder what caused my headache 2 months ago. 1.Do yo think headache was caused by a small hemorrhage stroke? 2. I read somewhere that aneurysm,angioma,hemangioma in the brain can cause sudden headache and do you think my headache was caused by the above three conditions? 3. What is the best test (CAT,MRI) to find out if a person has aneurysm,angioma or hemangioma in the brain and can the above conditions be diagnosed with an MRI,but without any IV injections or contrasts? 4.Can old small hemorrhage strokes be diagnosed with a plain MRI, IV MRI,CAT etc? 5. If the above conditions can not be diagnosed by an plain MRI with what IV injections or contrasts can the above be diagnosed?6.Can small hemorrhage stroke be diagnosed with EKG and is systolic blood pressure more important than diastolic for prevention of aneurysm,angiomas and hemangioms in the brain?Thank you
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Avatar_n_tn
Headaches do to blood leakage within the brain is typically very severe. It is impossible for me to say today what caused your headache. If you are concerned about the items you have listed, then having a MRI with contrast would be adequate to rule out these possibilities. However, if you had a small aneursym it could be missed on MRI. However small bleeds could be found with a gradient echo MR sequence (special way of performing a MRI to show old blood). A small hemorrhage in the brain can not be detected with an EKG. Both the systolic and diastolic pressure are important, however with regards to aneursyms the systolic is more critical. There is no prevention for angiomas or hemangiomas, they simply occur. I hope this answers your questions. Good luck.
5 Comments
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Avatar_n_tn
it sounds more like a muscle tension headache especially if it gets worse with your head down position while reading...your muscls tighten up and if you press on them they can be very tender......
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Avatar_n_tn
hi, i have a daughter that is 18 yrs. and mar. of this year she started having headaches that wouldn't go away she would cry for the pain was so bad she has never had headaches before. The dr. had a mri done and it come back abnormal so they recommended a mra to be done .and it come back saying she had some spaces in the right side which there was no blood flow and they said more then likely she was born like that and they also said that her headaches are not coming from that and not to worry about the mri and the mra .But they did put her on a medicine called corgard and another one that i can't remember . I had one neuro that told me if she had a anurisym it would be a very small one ...that really scared me . She recently had a pacemaker implanted because her heart rate wasn't beating fast enough to keep her blood pressure up and she is doing great in that area. She still gets headaches but as long as she takes her meds. she is fine. But the mra findings confuse me . is it ok not to have blood flow in some of the arteries???? And can you have a small anurisym and be ok?  The neuro. that she sees now said if the meds. did not work that they can inject the nerve that is causing all the problems and that should work.Who Knows. Maybe someone out there can ease my mind.?.
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Avatar_n_tn
Now, I am not an MD, but I have had three subdural hematomas. The first one I had had a headache for over two weeks and showed up at work each day. I worked in a doctor's office so I was on my feet doing clinical.

Second subdural I showed up in ER (headache for ten days) and the triage nurse didn't believe that I could have a subdural. When he admitted me a month later when I was admitted for numbness in my hand he apolozied saying he had never seen any patient walking into the ER with a subdural never mind looking as good as I did.

The third subdural was one week after the second when the docs tried to anticoagulate me for my mechanical heart valve with heparin. I did have a burr hole procedure done for my second subdural and I had a stroke after the surgery.

My word of advice is: Never say never. Although my risk might be higher due to the fact that I was on Coumdin you just never know. My INR was in range by the way when I had my bleed.

I don't know if anything will show up now as it might be too late, but the doctor should have ordered at least a CT scan of your head to rule out a bleed.
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Avatar_n_tn
i have headaches that last for days at a time there just migraines, maybe you just had a headache, it happens if the doc wasn't concerned and it didn't repeat than it's probably nothing to worry about.
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