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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Suffering With Migraines On Left Side With Enlarged Pupil During Attack. Was Given Seizure Medicine Post Car Wreck In The Past. Help?

I have a friend of my family who was in a car accident in October. He hit the right side of his head but did not sustain head trauma. He had multiple tests done including a MRI and MRa and CT scan . Initally the Doctor said they saw an anurism on the left side of the frontal lobe . Then another test was done and they said there was nothing. He has been to a neurologist and was given seizure medication. He is 16 and is now suffering from migraines on the left side and when the migraine comes on his pupil get very big. He and his family on scared and getting no answers.
Mon, 4 Feb 2013
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Neurologist,  's  Response
Hi,

Thank you for postig your query.

First of all, we need to resolve whether or not your friend has an aneurysm. This can be done with the help of cerebral angiogram. If it has not been done, please get it done after discussing with his neurologist.

Regarding his repeated headaches, if his brain scans are normal, then most likely it is due to migraine.

He can be started on preventive medications such as topiramate or divalproex to prevent repeated headaches.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
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Suffering With Migraines On Left Side With Enlarged Pupil During Attack. Was Given Seizure Medicine Post Car Wreck In The Past. Help?

Hi, Thank you for postig your query. First of all, we need to resolve whether or not your friend has an aneurysm. This can be done with the help of cerebral angiogram. If it has not been done, please get it done after discussing with his neurologist. Regarding his repeated headaches, if his brain scans are normal, then most likely it is due to migraine. He can be started on preventive medications such as topiramate or divalproex to prevent repeated headaches. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist