Recently Answered Questions
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After surgery, I experienced sudden tension in my head. Why?
Query: Hi doctor, Seven months ago, I had a serious head injury. That time, I was left with a small hole in the skull after extradural hematoma evacuation. Then, I had no discomfort in the head. Now, I have terrible tension around the back of the head and dull pressure and pain next to the hole. I feel hyp... Read Full »
Answer: Hi, Welcome to icliniq.com. A small piece of the skull bone could be cut and the hole in the bone was made. According to the reports (attachment removed to protect patient identity), there isno residual brain damage. Under these circumstances, I can explain your headache as follows. The pain around... Read Full »
Why has the headache not improved after taking Prednisone pac?
Query: Hello doctor, I am 70 years old, male with history of migraine for 40 years. The last few years for stress, I have taken 60 mg Cymbalta twice daily. My headaches sometimes give me the aura and sometimes slight dizziness for 10 to 15 seconds with headache to follow. Over the years I have tried all ki... Read Full »
Answer: Hi, Welcome to icliniq.com. First of all, one needs to confirm that it is indeed migraine. I would recommend the following: 1. Do magnetic resonance imaging (MRI) brain. 2. If MRI is normal, ask the neurologist to consider starting Valproate 500 mg once a day. If the migraine is resistant to all me... Read Full »
Why am I having frequent headaches in the middle of skull?
Query: Hi doctor, I have had the headache issue for over 12 years, which seems to worsen. The onset of this headache starts with pressure getting built up in my head, like stress for no reason, and all of a sudden, the headache begins at the back of the head, and within minutes it gets severe. If I have to... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Your headache most likely is migraine since it has been going on for the last 12 years. Another less likely possibility is occipital neuralgia. One thing that is not clear from your description is whether the pain is localized to one side or occ... Read Full »
What is the reason for the dizziness and pressure on my head and ears?
Query: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 250 pounds. I have been feeling dizzy for one week and there is a little pressure on my head and ears. I did a blood test and EKG (Electrocardiogram) and all came good. I am attaching these reports. I am really scared that i... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through all the reports (attachment removed to protect patient identity). They are all normal. A headache in a patient with a brain tumor is generally dull and aching type. It is worse in the morning and is relieved with vomiting. Nevertheless, the most com... Read Full »
What is the treatment for chiari malformation?
Query: Hi doctor, I had an MRI (Magnetic Resonance Imaging) three weeks ago and they told there is Chiari malformation about 8 mm. I went to a neurologist but he did not listen to me. I have a constant headache, a pressure in my necks and shoulders, nausea with vomiting daily. I have a problem with swallow... Read Full »
Answer: Hi, Welcome to icliniq.com. Tonsillar herniation of more than 5 mm in adults is significant and defined as Chiari type 1 malformation. The usual symptoms associated with this condition are imbalance while walking, cough induced headache, numbness over hands, nape of neck and weakness of hands. Many ... Read Full »
My mother has headache. Kindly view her CT reports and explain.
Query: Hello doctor, My mother had a headache a long time recently, we did a CT (Computed Tomography) scan, and there is a report of mild diffuse sclerosis on skull vault and bilateral concha bullosa and osteoma and more diagnosis. Can you please explain to me is there any problems or not? Read Full »
Answer: Hello, Welcome to icliniq.com. Headache does not seem to be related to any structural cause in the brain. The findings mean the following. Sclerosis of skull vault could be age related and benign. However, I need to check the serum ionized calcium level. Sclerosis could be a sign of something abnorm... Read Full »
Will white matter showing hyper intensities increase the risk of stroke?
Query: Hello doctor, I am a 40-year-old female. I saw a neurologist after an MRI due to increasing headaches. She believes they are tension headaches, but my MRI had scattered white matter with hyperintensive areas on it. She noted that they were mild and fairly common and was not worried. I keep seeing ... Read Full »
Answer: Hello, Welcome to icliniq.com. White matter hyperintensities on MRI (magnetic resonance imaging) are not uncommon and are commonly seen in many asymptomatic individuals. They are more often seen in individuals with uncontrolled hypertension. Mere presence of white matter hyperintensities on MRI... Read Full »