HomeAnswersNeurologyheadacheWhat could be the cause for recurrent headache and dizziness?

I get recurrent headache and dizziness. Please interpret my CT and MRI report.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At April 19, 2020
Reviewed AtApril 19, 2020

Patient's Query

Hello doctor,

My major complaint is headache and dizziness. This has been ongoing for years, despite being to several doctors. I am currently on Levothyroxine for hypothyroidism along with Bisoprolol for IST. I have had an MRI and CT scan done on my head, both of which came back abnormal. My doctor has sent in a referral to a neurologist, but he has yet to look at any of my information. I just want an opinion to begin with.

Answered by Dr. Aida Abaz Quka

Hello,

Welcome to icliniq.com.

Regarding your concern, I would explain that these CT scan and MRI findings are not related to the headache and dizziness. (attachment removed to protect patient identity).

I would like to know more about headaches. Is it throbbing or like pressure? Do you feel nausea during the headaches? How long do they last? Do you tolerate the light during the headaches?

In my opinion, considering the location of the headache in half of the head, it could indicate migraine. I would recommend starting therapy with Sertraline coupled with Verapamil.

Regarding the MRI findings, in my opinion, they could indicate a normal variation of the brain structures. Anyway, a brain MRI after a year would be necessary.

I hope this helps.

Patient's Query

Thank you doctor,

The findings of the MRI suggested possible fibrous dysplasia or arrested pneumatization. What are your thoughts on that?

Answered by Dr. Aida Abaz Quka

Hello,

Welcome back to icliniq.com.

Regarding your concern, I would explain that it could be fibrous dysplasia, but I do not think that it is responsible for your complaints. For this reason, I would recommend symptoms treatment with the above mentioned therapy. Follow up with a brain CT scan is necessary after 6 -12 months in order to evaluate the possible progression of this lesion.

The fact that it has no enhancement from contrast, means that it has low blood flow. The good news is that there is no compression of the brain or pituitary gland. That is why it is recommended to wait and see (follow up with brain MRI or CT scan). No surgery for the moment.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Aida Abaz Quka
Dr. Aida Abaz Quka

Neurology

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