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Aceptic Menigitis?
My son, age 26 has been on Lamictal for three years for bipolar. Recently the Doctor moved the dosage up to 300 mg. Several months after that he started experiencing migraine headaches. Since then he has been to 4 Neurologists, had two MRI's, a Lumbar Puncture, a Blood patch from the lumbar puncture. He has had Toradol injections, Imitrex injections, been on all types of pain meds. The first MRI showed a cholesterol granduloma in his peatrous appex. The ENT Neurologist said that it was a red herring and nothing to worry about and that his sinuses were fine. The next neurologist said that he wanted a second mri on the granduloma and it came back fine. The spinal tap also showed no abnormalities. He is in excruciating pain. The pain started behind his eyeballs and spread to the top of his head and then down to his neck. He is nausea and vomits several times a day. This has been occurring for over three months now and he has also lost about 15 pounds. He cannot hold his head upright with out pain and has been unable to work. His primary care physician has finally agreed to take him off of the Lamictal to see if that helps. Do you have any suggestions. We desperately need help. We live in the Indianapolis, IN area.
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There may be accompanying ptosis, lacrimation, conjunctival injection and miosis on the same side as the headache. Other secondary effects can be experienced, which are inability to organize thoughts and plans, exhaustion and depression and social isolation. There are certain known triggers like chocolate, sleep or even lack of it, banana etc. treatment Is ineffective with painkillers. Specific drugs like abortive and prophylactics. Abortive like O2, triptans, lignocaine etc, prophylacticis like steroids, anticonvulsant topiramate and melatonin. Wish you all the best.