Yes, I still have headaches from a MVA-related concussion back in '04. I had migraines before the accident, but the postconcussive migraines were different than the earlier ones, and both co-exist today. The post accident migraines have no aura, and are in a different spot than the usual "classical" migraines that I get. The management, however, is pretty much the same since they are both migrainous: propranolol for prevention, and (oral) Imitrex for acute headaches. I had tried many other drugs, but have come back to my original two for chronic treatment. I have far fewer headaches now than I did immediately after the accident (when it was daily,) but it took probably 18 months before the frequency dropped significantly to its new baseline.View Thread
Yes, a migraine could have caused those symptoms, but anyone should get these symptoms checked out immediately, and not assume that they are migrainous. Let the ER doctor rule out a stroke, it's not a do-it-yourself job!View Thread
A few points. First, definitely go back to the ER if you re-experience similar symptoms (i.e. not being able to move your arm,) or any other stroke-like problem. Your instincts on that were right on target. Second, although MRIs or CTs are sometimes ordered, they usually will only be ordered if you have abnormal findiings on your actual exam by the emergency room doctor. In other words, it wouldn't have been the mushroom story that failed to get you the imaging, it was probably just that your exam was not worrisome (e.g. no pupillary changes, balance deficits, difficulty with speaking, etc.) Next time, if you are concerned about leaving the ER and still having some symptoms, you could ask if you could stay as an observation patient for a few more hours to make sure that there are no serious events. Third, do consider starting the antidepressant, there's no point in feeling miserable all of the time. As the other posters have noted, the antipsychotic class of drugs now is used for a lot of purposes. The choice of that drug was not a dismissal of your concerns, but a recognition that you probably have treatment-resistant depression, and the overlap with the migraine drugs means that it would be a better choice for someone with headaches.View Thread
It's possible that she could be having something like that, but it seems more likely that it would be medication side effects. Has she started or stopped any medications, or made any dietary changes recently? Have her ask her neurologist about these new symptoms.View Thread
Migraines can involve the top of the head, some of mine do, and it feels like someone is using a drill bit on my skull. I had wondered if they were migrainous because I previously had the more typical unilateral headache with aura, but my neurologist said that these were migraines, too. The dizziness and nausea that you are having also sound like migraine. I have found that the "top of the head" headaches don't respond as well to triptans as the other headaches, but they still do to a lesser degree. I'm still experimenting with this as well. Keep working with your neurologists on finding a medication that will work. Most people find that one drug works well, and others have little effect, and it takes time to find out which one helps, but it's well worth continuing to experiment. I hope you find one that works soon!View Thread
My mother had a skull fracture, and has headaches at the site to this day. Not encouraging, I suppose, but hers have become pretty infrequent now. I would suppose the explanation has something to do with tissue damage at that area ("scarring?") She found that mild diuretics helped when the headaches were bad so she took menstrual remedies (e.g. Pamprin or Midol) even though the headaches had nothing to do with menses.View Thread
You can not r/o illicit drug use in this situation, although I suspect it will not be easy to raise the question. While the possibility of meningitis had to be investigated, the fever may not be infectious. If an adverse drug reaction could be eliminated, another avenue to consider would be an autoimmune disorder, although it would be pretty unusual for so abrupt an onset. I recall that when my daughter was first dx'd with juvenile arthritis, she had a similar temp spike, and was also pretty out of it, although not to that degree. The doctors cultured everything, only to have her joint pain "kick in" with a vengeance several days later, providing an answer when all of the cultures came back negative. I hope they find an answer soon for your young relative.View Thread
You may want to address the ergonomic problem at work first. Make sure that the keyboard, chair, and computer screen are all at the proper heights for you so that you reduce the immediate strain that you are under while you are doing your job. If you are still having a lot of neck pain, it would probably still be worth trying your family doctor a second time before seeing a neurologist. The neurologist is going to order the same tests, and prescribe pretty much the same medications that your primary doctor will, but will charge more, and you will probably have a longer wait for an appointment (unless you are already an established patient.) You may want to consider chirorpractic and/or physical theapy as a supplemental treatment; either will help with the neck discomfort, and you will probably need to show one or the other as a conservative therapy before your insurance company will pay for any imaging (mine required 4-6 weeks of failed treatment for neck pain before an MRI would be approved.) A pain management specialist can help, but (once again,) most of the time you have to show failed prior treatment, and few will see you without a physician referral first. This is all assuming that the migraines are fairly stable, and it's the neck pain that's the trigger; if you are having a major change in your migraines (other than frequency,) and the family doctor can't help, then it's worth going straight to the neurologist.View Thread
Of course only your doctor can provide an accurate diagnosis, but possibilities to consider might include ice pick headaches (which would explain the "poking" sensation) or migraines (which would explain the "throbbing" and the sensitivity to sound.) Both typically start in girls during the junior high and high school years. Neither are dangerous in themselves, nor will they necessarly progress to something worse, but they can be disabling to the extent that you can lose a lot of productive school and activity/family/sports time if they aren't treated. Talk to your parents about getting seen for your headaches; if you don't have a family doctor, your school nurse or an adult friend may have a recommendation. If cost is an issue, there are public health clinics in most counties, and Walmart has many Rx headache medications at a discounted price. Don't wait, you need to feel better!View Thread
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