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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Headaches In An Elderly?

Hi my name is Linda & I m trying to find out about my 92 yr old father who is constantly having severe headaches. Physically he is fine, he s been seen by a couple Dr s & about 2 yrs ago he had a cat scan & they said they couldn t find anything wrong. But he is in sever pain on top, bottom of skull, & between his ears in the back of his head. Can you advise as to what we might try?
Thu, 5 Mar 2015
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Internal Medicine Specialist 's  Response
Hi,

Thank you for your query. I can understand your concerns.
There is a possibility of Venous sinus thrombosis of the lateral or sagittal sinus or of small cortical veins (cortical vein thrombosis).
Often, CT imaging is normal unless an intracranial venous hemorrhage has occurred, but the venous sinus occlusion is readily visualized using MR- or CT-venography or conventional x-ray angiography.
Other possibility is Idiopathic intracranial hypertension (IIH). In IIH CT brain scans typically appear to be normal.






Regards

Dr. T.K. Biswas M.D.
Mumbai
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What Causes Severe Headaches In An Elderly?

Hi, Thank you for your query. I can understand your concerns. There is a possibility of Venous sinus thrombosis of the lateral or sagittal sinus or of small cortical veins (cortical vein thrombosis). Often, CT imaging is normal unless an intracranial venous hemorrhage has occurred, but the venous sinus occlusion is readily visualized using MR- or CT-venography or conventional x-ray angiography. Other possibility is Idiopathic intracranial hypertension (IIH). In IIH CT brain scans typically appear to be normal. Regards Dr. T.K. Biswas M.D. Mumbai