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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Headache And Migraines

Hello, my names Olivia I ve suffered with headaches and migraines since I was about nine and I am now 20 and finally getting refereed to a neurologist as I ve had to be admitted to hospital a few times which they thought I had meningitis.. I ve had a lumbar puncture twice now and the second time after the symptoms had calmed down my head started to feel good like the pressure had decreased, it s been about 4 weeks now since have it done and I m getting my headaches and migraine back. Could the lumbar puncture actually of helped? Kind regards Olivia
Mon, 20 Jul 2015
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Neurologist 's  Response
I read your question carefully and I understand your concern.

The fact that you feel the lumbar puncture helped you is interesting. It might indicate a condition called idiopathic intracranial hypertension, in which the migraines might be caused by raised intracranial pressure. However since you mention being admitted twice in the hospital it's less likely because chances are it would've been noted, both on the examination of the eye fundi and on measuring lumbar puncture fluid pressure.
However at times fluid pressure can fluctuate and result normal, so eye examination is recommended for the possibility of papilledema, swelling of the optic nerve papilla. If that is the case imaging with MRI including MRI venography and phase contrast.
Of course if no such signs are found it might be a coincidence, and treatment for migraine will be instituted by the neurologist.

I hope to have been of help.
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Suggest Treatment For Headache And Migraines

I read your question carefully and I understand your concern. The fact that you feel the lumbar puncture helped you is interesting. It might indicate a condition called idiopathic intracranial hypertension, in which the migraines might be caused by raised intracranial pressure. However since you mention being admitted twice in the hospital it s less likely because chances are it would ve been noted, both on the examination of the eye fundi and on measuring lumbar puncture fluid pressure. However at times fluid pressure can fluctuate and result normal, so eye examination is recommended for the possibility of papilledema, swelling of the optic nerve papilla. If that is the case imaging with MRI including MRI venography and phase contrast. Of course if no such signs are found it might be a coincidence, and treatment for migraine will be instituted by the neurologist. I hope to have been of help.