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Suggest Treatment For Clutching And Heating Sensation In Behind Left-side Of Head
Question: My brother in law is 40 years old. From the last 8 months, he is experiencing some clutching and heating sensation in the rear left half of his head. He feels as if there is some sort of burning sensation towards inside of the skull in the left side of the skull from backside of the ear towards the eyes. Also he sometimes feels heaviness in the eyes.
He has carried out CT scan and MRI scans of the brain in which no major problem was detected, though there was some kind of hyper intensity in left perventricular region reported in the report.
He has consulted the local neurologists and other doctors who have given him tablets mostly nervous tonics for relieving tension in the nerves. Some have also said that the problem is related to cervical of neck and have given ointments etc for that.
He is now taking tab neurikind, mentat and sibelium 10mg. He is feeling some relief with these medicines.
But the problem is still persisting and there is no sign of relief.
Please suggest.
He has carried out CT scan and MRI scans of the brain in which no major problem was detected, though there was some kind of hyper intensity in left perventricular region reported in the report.
He has consulted the local neurologists and other doctors who have given him tablets mostly nervous tonics for relieving tension in the nerves. Some have also said that the problem is related to cervical of neck and have given ointments etc for that.
He is now taking tab neurikind, mentat and sibelium 10mg. He is feeling some relief with these medicines.
But the problem is still persisting and there is no sign of relief.
Please suggest.
Brief Answer:
Possibility of migraine or tension type headache
Detailed Answer:
Hello XXXX,
I have gone through your question and understand your concerns.
Your brother in law is suffering from primary headache as Mri brain is normal.
Most commonly at this age tension type and migraine headache occurs.
Migraine is characterized by unilateral throbbing headache with associated nausea , vomiting, photophobia, phonophobia.
Tension type headache is usually bilateral, constricting without any nausea vomiting and with sleep disturbances and anxiety or stress.
Primary headache may take 2-3 weeks to get some response.
For treatment he may continue sibelium and take amitriptyline also.
Short duration pain killers like naproxen can be used.
Other medications are also available like topiramate, valproate, duloxetine depending upon the type of headache and response to treatment.
Provide the above details also.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist
Possibility of migraine or tension type headache
Detailed Answer:
Hello XXXX,
I have gone through your question and understand your concerns.
Your brother in law is suffering from primary headache as Mri brain is normal.
Most commonly at this age tension type and migraine headache occurs.
Migraine is characterized by unilateral throbbing headache with associated nausea , vomiting, photophobia, phonophobia.
Tension type headache is usually bilateral, constricting without any nausea vomiting and with sleep disturbances and anxiety or stress.
Primary headache may take 2-3 weeks to get some response.
For treatment he may continue sibelium and take amitriptyline also.
Short duration pain killers like naproxen can be used.
Other medications are also available like topiramate, valproate, duloxetine depending upon the type of headache and response to treatment.
Provide the above details also.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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