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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Lingering Pains In Nerves From Eyes To Vertex Since Coronal Browlift. Inter-cranial Hypertension?

I had a coronal browlift l5 years ago. I have had lingering pains since then. Nerves from eyes to vertex and a band around my head above ears. It is so discouraging as I ve been to many doctors. The band also feels that it goes up around the top l/2 of my head. Could I have intercranial hypertension? I ve had botox to try to destroy nerves, but it did not work. Thank you
Tue, 10 Sep 2013
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Neurologist,  's  Response
Hi,

Thank you for posting your query.

The symptoms do not sound like intra cranial hypertension (ICH). In ICH, there would be headaches, especially on waking up in mornings, associated with vomiting. Bluured or double vision at the peak of headache is also common in ICH.

An examination by ophthalmologist (fundus examination) would show papilledema in cases of ICH. So, the absence of papilledema on eye examination would exclude ICH.

Your symptoms seem to be due to involvement of local nerves on the scalp. Medications such as carbamazepine or pregabalin may be useful in relieving the symptoms.

Best wishes,

Dr. Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
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Lingering Pains In Nerves From Eyes To Vertex Since Coronal Browlift. Inter-cranial Hypertension?

Hi, Thank you for posting your query. The symptoms do not sound like intra cranial hypertension (ICH). In ICH, there would be headaches, especially on waking up in mornings, associated with vomiting. Bluured or double vision at the peak of headache is also common in ICH. An examination by ophthalmologist (fundus examination) would show papilledema in cases of ICH. So, the absence of papilledema on eye examination would exclude ICH. Your symptoms seem to be due to involvement of local nerves on the scalp. Medications such as carbamazepine or pregabalin may be useful in relieving the symptoms. Best wishes, Dr. Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist