What are the causes of disorientation with headache?

Question

Hello doctor,

I have disorientation, headache, sensitivity to light, forgetfulness, and drowsiness. I went to the hospital to rule out a brain aneurysm, but nothing was found. I need a resolution for the pain.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

A headache with sudden onset and the worst headache of one's life needs evaluation. Since your magnetic resonance imaging (MRI) brain is normal, it is reassuring. One thing that still needs to be evaluated is whether there has been any change in your vision, and how your fundus (eye) examination (to make sure there is no increased intracranial pressure).

If all these tests are normal, then you might be suffering from status migraine. Fioricet should be avoided as this may cause dependence. Things that would help:

1. Emergency room (ER) visit for migraine cocktail for headache relief.

2. Water intake is two liters per day.

3. Exercise daily.

4. A good sleep of at least five to six hours.

5. Preventive medications like Riboflavin 100 mg oral daily or Magnesium oxide 400 mg oral daily (trial for a month).

6. See a neurologist for detail evaluation. Investigations to be done are eye examination (fundoscopy).

The treatment plan includes a migraine cocktail if a secondary headache is ruled out.

I hope this helps.

Please revert in case of further queries.

Thank you.