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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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CT Scan Showed Shadow On Head. Had Migraines. Was On Narcotics. What Is The Abnormality?

my wife had a dark spot also called a shadow on a head CT scan 6 weeks post TIA at 29 years old. She has had 1 to 2 migraines her entire life until the TIA (last medically treated was 2009), now its at least 3 to 5 a week. This one has lasted over 3 days. We finally went to the ER TWICE today, one Dr said he didn t know what to do and the other walked in and said we don t treat migraines with narcotics okay, great can you please help my wife. She ordered a CT scan after the Torodal and Ativan did nothing. The CT showed an ambormality she called a dark spot and a shadow. She ordered an MRI , my wife was in so much pain that she couldn t stop shaking during the entire test - her head included. They had to call in a kid younger than US to do the MRI so my question is this, did the MRI rule out whatever showed on the CT or did her total inability to keep her head still (and the late hour) provide false results. They sent her home with some Zofran, she hasn t been able to keep anything down in well, almost 4 days. Do we trust the MRI results or should I take her back in?
Wed, 3 Jul 2013
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Psychiatrist 's  Response
Hi there ~

I understand your concerns. I believe you cannot trust the MRI results if your wife was shaking throughout the procedure. I also wonder why a sedative hypnotic was not used in her case to get her calmed down to the point where an MRI could have been possible. I also think that you might need to consult the radiologist and find out if the MRI is "readable". If not I would ask you to have it done once again and now this time under medical supervision and symptomatic treatment of all her conditions, including headache, nausea and the restlessness. I also think that she should stay away from drugs and you should inform the doctor of the drugs she has been on so as to get appropriate treatment.

I hope this helps. Take care of yourself and have a lovely day!
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CT Scan Showed Shadow On Head. Had Migraines. Was On Narcotics. What Is The Abnormality?

Hi there ~ I understand your concerns. I believe you cannot trust the MRI results if your wife was shaking throughout the procedure. I also wonder why a sedative hypnotic was not used in her case to get her calmed down to the point where an MRI could have been possible. I also think that you might need to consult the radiologist and find out if the MRI is readable . If not I would ask you to have it done once again and now this time under medical supervision and symptomatic treatment of all her conditions, including headache, nausea and the restlessness. I also think that she should stay away from drugs and you should inform the doctor of the drugs she has been on so as to get appropriate treatment. I hope this helps. Take care of yourself and have a lovely day!