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Neurosurgery (Expert Forum)
Sagittal Sinus
Answered by
Nassim Abi Chahine, MD - General Neurosurgery
Beirut - Lebanon
Welcome to the International Neurosurgery forum. This forum is moderated by Dr. Abi Chahine who is affiliated with St. George Hospital in Beirut, Lebanon
Sagittal Sinus
by wshield, Oct 31, 2009 11:23AM
My 17 year old son has suffered from a non-ceasing headache for over two years. We have seen doctors, been to the mayo clinic etc. We went and saw a new doctor this summer who ordered a MRV. The radiology reports states that the left sagittal sinus is either diminutive and atretic or thrombosed. Our neurologist here wants to talk to the doctor who ordered the test who happens to be on vacation. Our doctor told us it could be nothing or maybe we are getting somewhere. He had two spinal taps over two year ago. The opening pressure on the first was 23. The second one done while he was on topamax was 11. He has had his eyes checked two years ago and they didn't see any pressure. Not alot of info out there on this and I am having a hard time having to wait for this doctor to get back from his vacation. They diagnosed him with New Daily Persisitent Headache this summer. Any information would be helpful.
Doctor's Answer
by Nassim Abi Chahine, MD, Nov 04, 2009 02:22AM
, Nov 04, 2009 02:22AM
give him Topiramate 100 mg 1 tab evening
But start with lower doses
Please tell me what is his weight,Height and Blood pressure
But start with lower doses
Please tell me what is his weight,Height and Blood pressure
Post Comment
He was on topamax for almost two years. He had terrible side effects. He is 5'10 and weighs a 120 on a good day. They called and are going to do a CT venogram today. They were also talking about putting him on Diamox. His blood pressure is always low. 92/58.
anyways rule out now CHIARI malformation !!
D r Nassim