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Child has headache when bending over, urinating, breathing deeply. CT scan negative. Prescribed Propranolol

My 15 year old son is experiencing what appears to be thunderclap headaches. Triggers include bending over, urinating, breathing deeply. The headache hits full blast quickly, his BP hits around 175/125. We've taken him to the hospital and they performed a cat scan, spinal tap, and that came back negative. The headache lessens over a few hours and seems to respond well to Tylenol. We've seen a neurologist and he ordered MRI and MRA, both came back negative. We are waiting on a 24 hour urine test. We also saw a pediatric cardiologist and the ekg and heart sonogram, both came back negative. The first Neurologist said it may be RCVS. A second Neuro said it was a migrain and has prescribed Propranolol 10mg once a day.
Asked On : Mon, 1 Apr 2013
Answers:  1 Views:  22
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Pediatrician 's  Response
Since ur son BP is high with headache, before branding this as migraine, we have to rule out pheochromocytoma..This can be confirmed by urinary VMA assay...
Once this is ruled out, mostly migraine..For migraine avoid precipating factors such as lack of sleep, prolonged fasting,tension etc etc.. U can use prophylactic medicine like flunarizine or sumatryptan for migraine
Answered: Sun, 2 Jun 2013
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