I'm: 32y/o wm, optometrist, no signif PMH, no prev HA/migr., no PHx surgery, trauma, etc., very athletic, hiker, sports.
June 11,06: returned from 2 wk trip to Dom. Repub.; that night exper. sudden onset vertigo, resolved upon awake next a.m. No fever/flu sx.
(3 weeks, no sxs)
July 4: mild pressure HA began insid in left temp area, grew to a global pressure HA with mild but signif. imbalance/disequilibrium (not like vertigo of june 11).
July 15: Docs not sure. HA worsens, cycling mild-severe q5-15 days. "bad" periods: severe HA imbalance/diseq, loss of appetite / nausea, fullness ears, sinus, throbbing c pulse.no other neuro sxs.
July 15-Aug 25: cyling of sxs over 1-2 weeks of "bad". Sxs seem worse when upright, walking/exercise, but not with strain / valsalva.
Test results: Head MRI c contrast: "normal", cbc wnl, west blot lyme neg, yellow fev neg. no other tests done. ENT workup norm, auiology: wnl (notch in left hearing).
Aug 25 - Oct 15: imbal/disequil resolved completely; Only sx is pressure HA, present at all times, but very mild in a.m., worse (mod to sev) at night. taking amitryp 25qhs, ET Tyl, vicodin 5mg qhs/prn for pain, dramamine 25 mg for dizzy prn. psycholgcly, good spirits, trying to be more active.
Oct 15-present: HA worsened, imbalance/diseq returned to its max. HA and imbal, mild in am, worse when upright and activity. no other sxs noted. Fullness and ringing ears, worse c HA.
recent tests: LP,EEG, 2nd MRIc contrast tomorr. s/p 2 neur,1ID, 1ENT, 2GP, no Dx. What is this/what to do? go to UCLA neuro? Thank you