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6358958 tn?1380605654

could it be sinuse?

I would just need a possible medical justification for this matter, the onset of my 1st migraine attack came while trying to force myself to breath deeply and repeatedly while widely opening my shoulders and arms during an early morning exercise. what happened exactly was like hell running through my head  from the back part of my neck spine + unmovable body and shriving with cold.

That took me straight to bed to relax and cover myself while sweeting and with sollowen right side of the head.  I tried to swim later a few days the headache came as sever as it was. I have been going through this dizziness swollen  right head side and pain. I did CT scan which thank God showed no serious thing.  but was recommended to see neurologist who recommended an  MRI scan and will be done in few days. am like that  for few days now with alterable pain severity.  every time I try to cough cleaning my lungs or to breathing deeply.

I have a great feeling that it was  my sinuses.
2 Responses
351246 tn?1379685732
MEDICAL PROFESSIONAL
Hi!
I am sorry to hear about your medical problems. If there is tenderness on pressing the neck from outside, then this could be due to spinal nerve compression, inflamed sternocleidomastoid muscle as in TMJ (this would respond to physiotherapy, pain killers and cold compress), swollen lymph nodes if you can feel a mass, an abscess if you can feel a mass, a clot in the carotid artery or due to a muscle pull.
A MRI of the cervical spine and nerve conduction studies may be required. If your neck MRI is clear then the pain could be referred to the neck due to spinal problems of the upper back, or it could be due to tight neck muscles, or due to stress and anxiety or due to clots in the carotid artery. Hence you can get a MRI of the upper back spine and a dopplar study of the carotids. Please discuss with your doctor. Take care!

The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.
6358958 tn?1380605654
thanks for your very comprehensive analysis and that covers almost all areas from which a pain can occur.  just was called to discuss the results of MRI with neurologist tomorrow,

Having compared your analysis with the written report here, not sure if that what you have recommended to be studied or done within the MRI examination.   I would photo copy your analysis and I will use it tomorrow while discussing these symptoms.  my MRI  written report shows the follows

Indication Cough headache  ......... not surre, coughing actually with haddock occurred after the spinal pain,
  sagittal, axial and coronal images were obtained at 3t before and after Gadolinium enhancement . a diffusion weighted sequence and MRA  were also utilised

the ventricular system  is normal  in form and position
there is no evidence of abnormal signal intensity, mass formation or abnormal intracranial fluid collection.
there is no evidence  of restricted diffusion on the weighted sequence
no abnormal contrast enhancement is demonstrated after Gadolinium administration
on the MRa the major intracranial arterial vessels appear within normal limits
the aqueduct is patent and the cerebellar tosils are in normal position

, thanks
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