constant headache

[loop15]

My daughter is 15 she has had a constant headache for 10 days no pain relief has been effective. An abnormality in her peripheral vision has shown up and she is being refered as an urgent case to the hospital. What could the syptoms be connected to.

[loop15]

hi
Laurie had her eyes tested, sight ok but had a problem with her peripheral vision in the  right eye, it was the optician that wrote to GP strongly recommening investigation. Been advised to stop taking the pain killers on the chance it could be an anelgesic headache. Using relaxation technic's with Laurie in case its tension.

[Vanessa Lacuesta]

Hi,

I understand you are very worried about this .Just take this a step at a time and guide your daughter through all these.

How is your daughter? Has her condition improved with the medications?

I still suggest that you also seek referral to an ophthalmologist so that her eyes may be assessed. One has to rule out any direct involvement of the eyes. Eye problems may cause headaches and visual problems. A baseline cranial CT scan should also be done as this will help guide management.

At this point I am thinking of migraine with aura. Auras may present as visual symptoms. There are such auras which present as what are termed negative symptoms which may include temporary loss of vision and weakness to name some examples. However, migraine is only given as diagnosis once other conditions have been ruled out.

[loop15]

yes it did suddenly come on 11 days ago. No fever neck pain or rash. Was referred yesterday as urgent to a neurologist. Been given tramacet with instruction to see a gp over the weekend if not working which ther not. I am very worried at this point.
thankyou for repling

[Vanessa Lacuesta]

Hi,

Was this a recent and sudden onset headache?

A complete assessment is needed. Disruption of peripheral vision may be due to a localized eye problem or it may be something more central involving the brain and its structures responsible for vision. This makes it an emergent case. It is important to differentiate between these two probable causes.

Also, a complete medical history is important. A cranial CT scan, assessment of cardiac function, assessment of coagulation factors or bleeding parameters and ruling out an underlying infection are necessary.

Was there any history of fever, neck pain and rash?