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Having pressure headaches , also strugg,ing to find a word

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General & Family Physician
Practicing since : 2011
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Question
Having pressure headaches, also strugg,ing to find a word or words that I need. 74 years old. Previous history of brainaneursym. Also surgery for spinal corid fluid coming from ear.
YYYY@YYYY
Thu, 8 Feb 2018 in General Health
 
 
Answered by Dr. Saddiq Ulabidin 1 hour later
Brief Answer:
Will need repeat scans and fundoscopy for signs of raised pressures

Detailed Answer:
Hi! Welcome to Healthcaremagic. Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all it's sad to know what you had been going through lately.

Based on the history you have shared, you may need to have freshly repeated scans either CT or MRI to look for any signs of meningeal enhancement, or increased fluids causing pressures on brain or dilated ventricles inside brain.

Fundoscopy may also be helpful to look for any signs of raised intracranial pressures.

CSF opening pressures and lumbar puncture may not be needed at this moment but detailed neurological examination to look for any signs of focal neurological deficiit should be done.

Sometimes as post surgical sequelae the rise in intracranial pressures may occur and may cause compression of brain tissue leasing to conditions like normal pressure hydrocephalus and may lead to dementia, forgetfulness, or blurring of vision or nausea.

In case of sinus blockage or fluid pooling as you mentioned can lead to spread of the infection to the meninges and thus also needs to be ruled out.

Meanwhile OTC analgesics like acetaminophen can help with the pain. Supplements for B12, folic acid and zinc can also be used. Wishing you a speedy recovery. Hope this has answered your query. If you have any more questions please feel free to ask. Regards
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