Dr. Robert Hugh Shapiro
Internal Medicine Physician
Are the headaches occurring in the same area every time? Given their short length, and a normal neurological exam, I would be highly doubtful of a space occupying lesion on CT scan. Headaches caused by space-occupying lesions usually IMPROVE as the day progresses, due to the decrease in intracranial pressure in the skull as the patient spends time standing up. I agree that this does not sound like a tension headache, but would consider occipital neuralgia, associated neck spasm. In addition, would have the patient keep a "headache diary", noticing location, timing of headaches and any food or other-related triggers. Avoid or cut back on Nutrasweet containing beverages, MSG, chocolate, ripe cheeses. Sleep hygiene: get at least 7 hours of sleep if possible in a quiet, dark, room that is at a temperature that is comfortable for you. Drink at least 5 glasses of water a day. Have small meals frequently to balance blood sugar. Seek counseling if at all possible if there are stress related issues. Take a walk for at least 20 minutes a day
Hope all is helpful!
23.Jan, 01:48am