headaches vertigo nausea

[nimi345]

i am 25 male.  i have been suffering from chronic headaches for the last 2 months , my neurologist has diagnosed it as chronic tension type headaches and he has prescribed me amitryptiline 25mg, inderal 20mg twice and tizanidine 2mg twice. i am using this medication for about 2 months now had have little outcome. now for the last 1 month i am having continuous nausea and vertigo. i am using stemitel thrice daily. due to this vertigo,headaches and nausea i am having difficulty concentrating, reading and driving. i feel exhausted at the end of the day.i have seen my neurologist thrice. i have been to ENT surgen  for my chronic maxillary sinusitus and have done Endoscopic sinus surgery  5 days back. i thought my vertigo and headaches will be over after this surgery but there is no improvement. plz help

[nimi345]

my ct brain came normal.i am trying epley maneuvers for the past 5 days but its not helping me, stemetil and serc16 mg are not helping to overcome my vertigo , my ENT doctor did check for nystagmus before sinus surgery. No treatment is of any help.
can depression cause vertigo....i started to experience vertigo after major attack of depression which lasted for 4 months. my ENT doctor also said that tension and anxiety could be the cause of my vertigo .. but i am already on  anxiety meds for past 2 months( inderal and amitryptyline)

[Londres70]

Try not to panick, you will be ok.  

Get the CT; that is important.  

Epley Maneuvers are usually recommended for vetigo secondary to BPPV.   Since you just had sinus surgery recently, I would not recommend doing these maneuvers unless a physician has recommended this.  NOT all people are "amazingly cured" by these maneuvers; about 80%.  

Is the Stemetil helping at all?

Have you had any vestibular testing done before the surgery?

[nimi345]

one more thing to ask
what do u think about the epley maneuver for vertigo? i was searching the youtube for it and found out that many people have been amazingly cured by epley exercises, i wonder y my ENT surgeon didn't tell me about it.

[nimi345]

i went to another neurologist yesterday, he has advised me CT brain without contrast to exclude space occupying lesions. this has alarmed me, if the CT comes out with something abnormal? last night i was having severe vertigo it seemed as if some1 was moving my bed, i think i am dying

[Londres70]

I would probably say neck muscle spasms are another symptom.

As I stated in an earlier post, request imaging.  

[offshoresurf]

Have you seen your dentist about the headaches?  They could originate with your Temporo-Mandibular Joint (TMJ).  In fact (often undiagnosed) TMJ problems cause more headaches than sinus problems.  Please check this out as tension may also be involved leading to jaw-clenching, especially while sleeping.  Good luck!

[nimi345]

can neck muscle spasms cause all these symptoms?

[Londres70]

At this point,  you should be requesting one.  

[nimi345]

no. my neurologist didn't advised any MRI or CT brain

[Londres70]

Any scans of your head done?  eg. MRI?  CT?