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Pulsation On Head, No Pain, MRI And CT Scan Negative. Have Bell's Palsy. Related?

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Posted on Sun, 26 Aug 2012
Question: Hello:

My mother in law has been suffering from a pulsating feeling on the left side of her head. She doesnt have any pain and she has had both an MRI/CT Scan and both came back negative. She also has Bell's palsy. Could this be related to Bell's or is there a possibility for an underlying issues?
doctor
Answered by Dr. Pratap Sanchetee (1 hour later)
Hi,
Thanks for writing in.
To help you better, I would need a few more detailed about the headache: age at onset of headache, any precipitating or relieving factors, is it on the side of Bell's palsy, duration and frequency of headache etc.

As MRI is normal, it rules out most of serious intracranial causes. In first instance, she can be treated with simple analgesic in consultation with your doctor.

Awaiting your reply
Regards

Dr Pratap
Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
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Follow up: Dr. Pratap Sanchetee (2 hours later)
Thanks for the quick response. She doesnt have an accompanying headache with the throbbing, its almost like a twitch. She describes it as a pulsating vein/artery but there is no pain or headache with it and yes, it is on the same side of the Bell's Palsy. She seems to think she has clogged arteries in her head.
doctor
Answered by Dr. Pratap Sanchetee (12 hours later)
Dear,

Feeling of pulsation in vessels over head is some times normal in certain individuals and particularly if they are anxious. Your doctor may consider anxiolytic and if it continues to be troublesome, angiography (MR angiogram) can be considered to rule out a pulsatile tumor.

Hope this helps. Do write back in case you have follow up queries.

Regards

Pratap
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Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Pratap Sanchetee

Neurologist

Practicing since :1974

Answered : 125 Questions

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Pulsation On Head, No Pain, MRI And CT Scan Negative. Have Bell's Palsy. Related?

Hi,
Thanks for writing in.
To help you better, I would need a few more detailed about the headache: age at onset of headache, any precipitating or relieving factors, is it on the side of Bell's palsy, duration and frequency of headache etc.

As MRI is normal, it rules out most of serious intracranial causes. In first instance, she can be treated with simple analgesic in consultation with your doctor.

Awaiting your reply
Regards

Dr Pratap