Intracranial Pressure

The pressure exerted by cerebrospinal fluid (CSF), which is present inside the skull, on the brain is called intracranial pressure. When this pressure is more than 15 mmHg, it is called intracranial hypertension. High intracranial hypertension symptoms are headache, nausea, high blood pressure, double vision, shallow breathing, coma, and loss of consciousness.

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What makes me dizzy when I shout or blow hard?

Query: Hello doctor,When I shout or blow hard with my mouth, I get headaches or dizziness. Why?Thank you.  Read Full »

Dr. Albana Greca

Answer: Hello, Welcome to I understand your concern. The headache you feel is due to increased intracranial pressure when shouting or blowing. Avoid such habits. If it happens without shouting or blowing, I suggest you consult a neurologist to rule out neurological problems. All the best. Tha...  Read Full »

Is bilateral papilledema a serious one?

Query: Hi doctor, My wife was recently seen by an ophthalmologist for loss of peripheral vision in one eye and a feeling of something wrong with her eye, as though it were closed. Ophthalmologist diagnosed it as bilateral papilledema and referred to neurologist for immediate follow up. The ophthalmologist ...  Read Full »

Dr. Vaibhev Mittal

Answer: Hi, Welcome to Please do not get panic. Papilledema is swelling of optic nerve head due to increase in intracranial pressure. This pressure may be high due to some tumor or blockage of sinuses or idiopathic (without cause). The investigations required are: Perimetry should be done ...  Read Full »

Is regular morning headache asign of brain tumor?

Query: Hello doctor, I have been experiencing light-headed feelings, and daily headache as soon as I wake up. I will be uploading an MRI summary, and want to know what the results mean if this is treatable, or is it terminal? I am currently on Temazepam 30 mg daily for sleep, Diazepam 5 mg as needed for...  Read Full »

Dr. Aida Abaz Quka

Answer: Hello, Welcome to I read carefully your question and would explain that there is a non-specific finding in your brain MRI (attachment removed to protect patient findings), which could be a small inflammation region, a born defect or a tumor. This lesion is too small for biopsy. So ...  Read Full »

Can constant one-sided headache particularly during movement be brain tumor?

Query: Hello doctor, I am a 31 year old male. I am 6 feet 2 inches tall and obese at 113 kg. The problem that I am describing below I have been experiencing for the past 10 days or so. I have a more or less constant headache. It is typically on the right part of the forehead, around the hairline and occurr...  Read Full »

Dr. Srivastava, Sumit

Answer: Hello, Welcome to A headache can be due to many causes. Few common causes are: Migraine. Hypoglycemia. Hypertension. Raised intracranial tension. Sinusitis. Stress. Dehydration. In your case, it seems to be either due to the aggravation of sinusitis due to a recent weath...  Read Full »

Will there be hyposmia even after sinusitis gets treated with medication?

Query: Hello doctor, I have chronic sinusitis without polyps. I am taking Budesonide rinses which I do twice a day. These have helped with my symptoms greatly. However, I still suffer from a weak sense of smell. Being that my other symptoms are controlled, should my sense of smell improve over time? Can y...  Read Full »

Dr. Syed Peerzada Tehmid Ul Haque

Answer: Hello, Welcome to Anosmia or hyposmia is a frequent occurrence associated with rhinosinusitis, and many factors lead to it. Firstly sinusitis is an inflammatory condition associated with edema and the release of inflammatory mediators that cause olfactory mucosa to respond less to o...  Read Full »

Why is my throbbing headache getting worse?

Query: Hi doctor, I am having bad headaches for two weeks now. It seems to be a throbbing headache. It affects my front and back of my head. It gets worse when lying down. Sometimes, I have vomiting. Last week, I had a fever for two days. I have tried taking painkillers for headaches. But it is not work...  Read Full »

Dr. Upendra Kumar Shah

Answer: Hi, Welcome to Headache and vomiting with fever occurs due to infection. You need to rule out meningitis and raised intracranial pressure. Please mention whether you have blurring vision or double vision or neck rigidity. If you have any of these symptoms, you need to consult your...  Read Full »

Is it preferable to do surgery for an intradural extramedullary lesion?

Query: Hi doctor, The patient is diagnosed to have partial agenesis of corpus callosum and colpocephaly. Also, there is late onset of seizures with nodular intradural extramedullary lesion seen at L1 body and L1-L2 disc level with significant conus and caudal compression or displacement to the left side. ...  Read Full »

Dr. Ashok Kumar

Answer: Hi, Welcome to I do not think that the condition can be treated with medical management as the nodular growth measuring around 25 mm (attachment removed to protect patient identity) and causing pressure symptoms over the adjacent spinal cord. It is possible that if not surgically correc...  Read Full »

Why is my baby's head so big?

Query: Hi doctor, I was blessed with twin baby girls before three months. It was a premature C-section at 36th week. At birth, one of my baby head size was 33 cm. After some days, it was 36.5 cm. So, the doctor was surprised and sent for an ultrasound scan. I have attached the first report of the scan. It ...  Read Full »

Dr. J. Mariano Anto Bruno Mascarenhas

Answer: Hi, Welcome to I have gone through your query with diligence and would like you to know that I am here to help you. The head circumference of 40.5 cm at 8 weeks of age is definitely abnormal. In addition to that, the scan report (attachment removed to protect patient identity) clearly ...  Read Full »

Is headache a symptom of venous aneurysm?

Query: Hi doctor,I have a 8 x 12 mm sac type aneurysm on the vein of Galen. I am 50 years old and otherwise in a good health. I have had bad headaches and nausea for about seven months. It led MRV and that found the aneurysm. I know the risks of an arterial aneurysm rupturing, but do venous ones rupture? ...  Read Full »

Dr. J. Mariano Anto Bruno Mascarenhas

Answer: Hi, Welcome to This is a very rare anomaly. Dilatation of entire vein is more common. Theoretically, there is a risk of rupture. But, in practice the most common complications are hydrocephalus and cardiac problems. You have not indicated whether the scan revealed hydrocephalus or not. ...  Read Full »

Is it normal to lose consciousness while holding back heavy sneezes?

Query: Hello doctor, My father is 54 years old. He has a very heavy sneeze. When he sneezes he holds it back and he loses consciousness. I tell him not to hold it back but he is physically not able to let it go alone. Is there anything I can do to help him or anything he should do and are there any danger...  Read Full »

Dr. Bhadragiri Vageesh Padiyar

Answer: Hi, Welcome to First, we need to find out what is the cause of recurrent sneezing. If you look into the physiology, sneeze is a protective reflex often in response to something irritative and offensive which the body wants to push out in order to prevent it from reaching the lungs an...  Read Full »

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