medical assistant

my head is starting to shake.  I hear a sound in the back of my neck that sounds like grissle is moving.  starting some headaces.

[Dr Sharma]

Hi there. I suggest you to first let go of any anxiety that you might be having. You need to consult a neurologist with stress related concern and a trial of anti anxiety drug may provide some relief. The other causes of headaches could be migraines or tension headaches, sinus headaches radiating to the ear, headache usually front of head, on one or both the sides of temples along with nausea, vomiting, irritability, low blood pressure, sensitivity to lights, sound, etc. aura associated with migraines could include blind spots, blindness in half of your visual field, paresthesia, weakness or visual hallucinations. Your vision needs detailed testing by an ophthalmologist. Hypertension and hypotension need to be checked. An MRI brain is warranted to rule out any intracranial lesion particularly aneurysm and MRI spine for ruling out cervical spondylosis and degenerative disc disease.  Temporal tendinitis mimics migraines including TMJ pain temporal headaches, tooth sensitivity, neck and shoulder pain. Treatment includes injecting local anesthetics and other medicines, moist heat muscle relaxants and NSAIDs along with physiotherapy. Multiple sclerosis would also need to be excluded. Treatment for migraines include drugs that prevent the attack like anti convulsants and drugs which treat an attack like triptans, ergots etc your queries should pertain to all these possible differential diagnoses. Trigeminal neuralgia needs to be considered. Hope this helps. Take care.