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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chronic Headaches After A Head Injury?

Hello, In 2006 I had trauma to my zygomatic bone and temple as a result of being hit with a pistol. I also was slammed to the floor causing to hit the side of my forehead. I have had headaches for years but recently they have gotten worse. About a year ago i was scanned with an MRI for the brain. The radiologist reported I had intracranial hypertension and ventriculomegaly. A second MRI report stated I have hydrocephalus which is rare for a person my age (32). MRV came back normal. I was wondering if the trauma I had in 2006 to my zygoma and temple area could have caused this and what literature can be found to support my findings.
Thu, 23 Aug 2018
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Addiction Medicine Specialist 's  Response
Hydrocephalus is a serious condition that can lead to irreversible dementia. That is preventable. The flow of fluid through the brain can be clogged up and the fluid backs up and puts pressure onto the brain. This will cause headaches. There are a variety of tests. The easiest but least reliable is to take pills to lower the pressure (diamox) and see if it helps. The best is to put a pressure gauge into the area of the brain and see if the pressure is elevated. OR to see if tracers put in move thru the fluid correctly. These predict if a tube to lower the pressure will help (stenting).
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What Causes Chronic Headaches After A Head Injury?

Hydrocephalus is a serious condition that can lead to irreversible dementia. That is preventable. The flow of fluid through the brain can be clogged up and the fluid backs up and puts pressure onto the brain. This will cause headaches. There are a variety of tests. The easiest but least reliable is to take pills to lower the pressure (diamox) and see if it helps. The best is to put a pressure gauge into the area of the brain and see if the pressure is elevated. OR to see if tracers put in move thru the fluid correctly. These predict if a tube to lower the pressure will help (stenting).