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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Need Treatment For Headache After Concussion

I had a concussion from a head injury over three years ago and months after the injury I was diagnosed with post-concussion syndrome. I have very unusual, sometimes debilitating headaches that occur one to three times a month. They only occur on the injury side of the head and are not migraines. The pain has a sudden onset, waxing and waning in intensity for as little as six hours, but as much as 48 hours. The pain feels like a searing or grinding sensation that travels along a single line, moving around from a single point around where my skull impacted. I used to have migraines, but haven t had a single one since the accident. There is nausea and sometimes vomiting. I had my eyes checked about a year ago and the doctor dismissed any occular conditions as the origins of the headaches. Oftenwith these headaches I have a lot of drainage from the sinuses on that side of the face. If these are merely sinus headaches, they are many times more severe than anything I had experienced prior to the injury. Should I see a neurologist for this or is this just a long term post-concussion symptom?
Mon, 16 Feb 2015
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Neurologist 's  Response
In this kind of complex situation where a diagnosis was made very late compared to the index event I think it's important to know that we are talking about PCS and not something else. Another important thing to realize in this sort of headache is that is not typical and needs to be tracked with regard to certain characteristics and parameters in order to determine whether or not there could be trigger or underlying causes that can be easily understood and treated. For this a HEADACHE DIARY should be followed and then, presented to a headache specialist for analysis. Then, and only then, can the best interventions be concluded. I am a neurologist and headache specialist from Cleveland, Ohio, USA and would be happy to discuss this in more detail if you wish to write to:

bit.ly/drdariushsaghafi
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Need Treatment For Headache After Concussion

In this kind of complex situation where a diagnosis was made very late compared to the index event I think it s important to know that we are talking about PCS and not something else. Another important thing to realize in this sort of headache is that is not typical and needs to be tracked with regard to certain characteristics and parameters in order to determine whether or not there could be trigger or underlying causes that can be easily understood and treated. For this a HEADACHE DIARY should be followed and then, presented to a headache specialist for analysis. Then, and only then, can the best interventions be concluded. I am a neurologist and headache specialist from Cleveland, Ohio, USA and would be happy to discuss this in more detail if you wish to write to: bit.ly/drdariushsaghafi