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Question
Posted by: Johan | 2012/01/25

Headache and other problems

Hi
My wife got a problem. Last Saturday she had a headache and lost most of her vision in her left eye. The next morning the symptoms persist but a new one also shows. Her left arm got that needle and pins feeling. The Monday we go to the doctor and he send us for observation to a bigger hospital in Kimberley where they did some tests. They did a blood test, sonar test of her neck , eye tests and a MRA and x-rays of her head. The found nothing wrong. Then they send a shrink to see if it may be stress but the person says my wife is not that stressed. The day before they send us home she begins to have a lot of pain in her arm and leg whenever she uses them hard. On the day they send us home she started to throw up and have difficulty keeping anything inside except water. After two days of norflex pain tablets the pain was less and she could eat again. This Monday she goes to work but after a few hours they phone me to take her home. We saw the doctor the same day again and he give her an injection that knocked her out and give her a lot of pain pills and said she must be back on Thursday?
The big thing is they don''t know what is wrong. Do you have any ideas?
Regards
Johan

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Our expert says:
Expert ImageHeadache expert

Dear Johan,

Many of the symptoms that you described can happen with migraine, but you did the correct thing to have the tests to make sure there was not something serious that needed treatment. If all the tests including the MRA were normal then the chances are that she has a type of migraine. To get to the root of the problem, you need what is called a “multidisciplinary assessment”, which should include a neurological examination to rule out any serious underlying condition. There are so many different structures in the head and neck, all of which can be involved in the headache process, that no single specialist can have all the knowledge necessary to make a comprehensive assessment and diagnosis. For instance, a neurologist will examine the brain and nervous system, a physiotherapist will look at the muscles, a dentist will examine the teeth etc. For this reason, the “multidisciplinary assessment” combines and integrates the expertise of different specialists who would normally treat headache patients in isolation, into a single more comprehensive body of knowledge. This enables the different members of the team to provide a co-ordinated treatment plan, so that all the contributing factors are addressed.

This assessment must include a thorough examination of the head and neck muscles to determine the presence of abnormal tension, and of the external carotid vasculature to determine whether there is an arterial element to the pain.

Headache sufferers often have a poor Quality of Life due to the constant pain and associated symptoms. For a free assessment of how your headaches are affecting your Quality of Life, click on http://www.headacheclinic.co.za/

This information has been supplied and checked by the multidisciplinary team of specialists at The Headache Clinic, in association with The International Headache Society and the South African Institute of Headache and Migraine Science. For consultation with these specialists, call The Headache Clinic (Cape Town, Durban, Johannesburg) on 0861 678 911.

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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Our users say:
Posted by: Headache Expert | 2012/01/26

Dear Johan,

Many of the symptoms that you described can happen with migraine, but you did the correct thing to have the tests to make sure there was not something serious that needed treatment. If all the tests including the MRA were normal then the chances are that she has a type of migraine. To get to the root of the problem, you need what is called a “multidisciplinary assessment”, which should include a neurological examination to rule out any serious underlying condition. There are so many different structures in the head and neck, all of which can be involved in the headache process, that no single specialist can have all the knowledge necessary to make a comprehensive assessment and diagnosis. For instance, a neurologist will examine the brain and nervous system, a physiotherapist will look at the muscles, a dentist will examine the teeth etc. For this reason, the “multidisciplinary assessment” combines and integrates the expertise of different specialists who would normally treat headache patients in isolation, into a single more comprehensive body of knowledge. This enables the different members of the team to provide a co-ordinated treatment plan, so that all the contributing factors are addressed.

This assessment must include a thorough examination of the head and neck muscles to determine the presence of abnormal tension, and of the external carotid vasculature to determine whether there is an arterial element to the pain.

Headache sufferers often have a poor Quality of Life due to the constant pain and associated symptoms. For a free assessment of how your headaches are affecting your Quality of Life, click on http://www.headacheclinic.co.za/

This information has been supplied and checked by the multidisciplinary team of specialists at The Headache Clinic, in association with The International Headache Society and the South African Institute of Headache and Migraine Science. For consultation with these specialists, call The Headache Clinic (Cape Town, Durban, Johannesburg) on 0861 678 911.

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