Though I experience pain on my head, why is my MRI normal?

Hi,

Welcome to icliniq.com. I understand most of your symptoms. You said constant nerve pain in the right side of your head on one spot. I would like to know the spot exactly. The best would be if you can attach a line diagram of human head and mark the area on it to avoid confusion. The rest ofyour symptoms fit into the pattern of a vascular headache and migraine is one of the vascular headaches. Only atypical part here is numbness over the forehead and pain in the gums and this is suggestive of a trigeminal nerve involvement most likely in the form of mild vascular compression. As it is not constant, it is very significant to be picked up by magnetic resonance imaging (MRI). When you are stressed, the mean pressure goes a bit high and the compression is more temporary and so your symptoms. This is one of the hypothesis behind this sort of symptoms when magnetic resonance imaging (MRI) is normal. Very rarely the lesion involves the dura or nerves in very early stage. When it is not seen on MRI, please do not think too much about it at this stage. This can be treated using medicines, which act on the vessels. We usually start with tablet Flunarizine 5 mg at bedtime. Later on, we adjust the dose and add medicines on SOS (as and when needed basis). If your autonomic system stabilizes, then your symptom would improve. Again, this is a hypothesis, which is waiting to be proved. This is the reason, if you start meditation on a regular basis, your symptoms will improve over a period of time. I have witnessed this. Initially, you can take medicines, meanwhile, continue meditation and relax a bit in handling daily life situations. Then, gradually you can stop the medicines.

Hi,

Welcome back to icliniq.com. It is good that you sent the picture (attachment removed to protect patient identity). The pain localized to the area, which you have shown and associated tender spots on your head and if you are very sure of this symptom, then it is not a lesion causing this. It is the hypersensitive scalp and is associated with migraine, a vascular headache. Steroids help in the condition called temporal arteritis, in which there are similar symptoms. Pain in the indicated area along the temporal vessels, tenderness of the scalp in the same area, but associated with this would be many other symptoms like generalized weakness, neck pain, pain in muscles, pain in jaw while chewing, etc., which you do not have right now. Also, temporal arteritis is rare at the age of 27. Still, if you have any of the above mentioned symptoms, then you can go for a short course of steroid. But, that is advisable only under direct medical observation.