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Sudden pressure in forehead, dizzy, double/blurry vision, trouble concentrating. Solution ?

Hi, Thursday 31/1 I was getting explanation on the computer at work when I got a sudden pressure in my forehead , I felt dizzy, had trouble concentrating, trouble finding words and double/blurry vision . This lasted all day, I couldn t stand light. The pressure stayed on the right side of my head and face (eye, forehead), trouble finding words and trouble concentrating, doing my normal job became a real problem. Tuesday I went to the GP who diagnosed sinusitis and tension headache , she prescibed a nose spray and neurofen . This treatment didn t help at all. Last thursday I went to the ER because the pressure got even worse, I had slurred speech, real trouble thinking of words, I was unable to think and had to stop working. I also had tingling feeling in my face (under eye and next to nose). They took a CT and did bloodexam which turned out normal, I responded well to the migraine medication so they sent me home. However I was still unable to concentrate and do certain things such as programming which before was no problem. The situation now is: sometimes pain/pressure in the right side of my head and forehead. a constant ticklish/light pressure feeling in de middle of my forehead, which gets more intense when I try to think. I still have trouble finding words, and am sometimes amazed that I can make a full sentence. I feel like I m running into a wall when I try to think. I am still unable to do my work. I sometimes have earache and some fluid comes out, just a little. I also sometimes feel as if I have a fever, but I don t, I get a general malaise feeling. I was diagnosed with TMJ a year ago but never looked into it. I hope you can just give me somekind of direction as where to look for answers. Thank you.
Asked On : Thu, 14 Feb 2013
Answers:  1 Views:  284
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ENT Specialist 's  Response
Aug 2013
hello and welcome to HCM,

You seem to be having a multitude of CNS and ENT problems both of which should be evaluated further and treated accordingly.
Let the following be the checklist for you:
1. Consult an ENT who will clean the ear discharge and perform a complete examination of your ear drum and also perform an audiological testing.
2. A CT scan of the temporal bone is also necessary to rule out any middle ear pathology (since you have mentioned CT done, i am assuming you went for CT brain)
3. Consult a neurologist who will give a complete examination of your mental state and also examine your nervous system and may order other tests like the MRI/EEG for further analyses

meanwhile do not strain and take a break, also get your eyes tested for any refractory errors.
Also do not continuously perform a single task for a long time, take frequent breaks.
I am assuming you were diagnosed with TMJ arthritis last year which is not related to your symptoms now (TMJ is the jaw joint )

get back to me with the reports if possible

take care

Dr Sriram Nathan
Answered: Tue, 20 Aug 2013
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