I am suffering from localized tenderness in scalp. I also have left thigh numbness. My doctor diagnosed it as mild meralgia paresthetica. He prescribed Pregabalin, but I did not take due to concern of dizziness and drowsiness. I always have a fear that antidepressant medicine can cause cancer in later stages of life. I have attached my medical history for your reference. Please help.
Welcome to icliniq.com.
Thanks for giving such an elaborate information and history (attachment removed to protect patient identity).
Poorly treated migraine or irregular treatment.Investigations to be done:
1. Nerve conduction study of bilateral lower limbs, including bilateral lateral cutaneous nerve of thigh.
2. MRI brain and MR angiogram intracranial vessels with contrast.
3. ANA (antinuclear antibody), ESR (erythrocyte sedimentation rate), HBsAg (hepatitis B surface antigen), Anti HCV (hepatitis C virus), CRP (C-reactive protein) and fundus examination to look for papilledema.
1. Migraine headache leading to chronic daily headache.
2. Giant-cell arteritis (temporal arteritis).
3. Insomnia due to chronic daily headache.
Migraine headache.Treatment plan:
Get nerve conduction study as advised above. If it suggests meralgia paresthetica, then try Gabapentin in place of Pregabalin.
Rule out other causes of scalp tenderness by MRI and blood tests. If the tests come out be normal, then start appropriate prophylactic medications for migraine.
1. Avoid trigger factors of migraine headache.
2. Do not wear tight belt at waist.
Revert back with the test reports to a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist
Thank you doctor,
The MRI was done for scalp and brain before two years, which was quite normal. I do not have a headache. I have pain under the skin of the scalp. My glucose level in fasting and random are 75 and 105 respectively. My CRP, homocysteine and all other body function test like liver function, kidney, heart, TMT and echo are normal. My cholesterol is 200 and vitamin B12 is 180. I had only one episode of migraine before six years, which was a throbbing headache. Then, two years ago, I had left-sided dull continuous pain on the scalp that eases after rest or sleep, but comes again.
Welcome back to icliniq.com.
Revert back with the reports to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist
Was this answer helpful?|
.. (Nepafenac) does not have such side effects. But, I suggest you reduce the frequency of Nevanac to twice daily after 15 days and then to once at bedtime after next 15 days. You said you are wearing -2.75 in the right and -3.75 in left. This is a ... Read fullDoes opiate withdrawal cause nausea, low BP, muscle pain and urea smell?
.. fine to stop Lyrica (Pregabalin). In my opinion, your symptoms could be related to a panic attack, probably caused by Topiramate adverse effects. Besides, as Topiramate can also cause kidney dysfunction. So, I strongly agree with your doctor on st... Read fullMRI shows 'intermediate signal intensity lesion in endometrial cavity.' What is it?
.. report, there is a possibility of malignancy. Cancer of the uterus is more likely. Do CA 125 level, CT scan abdomen and pelvis, X-ray, sonography, PET scan and consult a gynecologist near you and also take an opinion from an oncosurgeon. Doctors... Read full
Query: Hello doctor, I had an MRI of the thoracic spine and it showed an intramedullar mass at level T4. I was told it is likely to be a cyst and is not malignant. However, everything I have read online says that intramedullar lesions are almost always malignant and cysts are rare or maybe evidence of MS,... Read Full »
Query: Hello doctor, My 49 year old mother has a severe (sciatica-like) leg pain. There is also pain below the knee and at the back of the leg. The pain is an extreme burning sensation kind of pain. It sometimes moves to the hips. The pain increases when she sits or tries to walk. She is taking a pain ki... Read Full »
Query: Hi doctor, I am a 50 year old female. I have aches in my limbs and thighs especially at night. It is often characterized by heaviness in limbs. I am getting headache chiefly in left side of the head. I am taking painkiller at least once in a week for the same. I am taking Newtel 40 mg for blood pres... Read Full »
Ask your health query to a doctor online?Ask a Neurologist Now