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Question
Posted by: Sharon | 2010/09/16

Headaches

My 17 year old daughter is suffering daily from headaches. Been for CT Scan that showed large calcite granuloma on right side of brain. EEG revealed left side of brain triggers epilepsy.She is on epilum. Please advise on headaches as this is the reason why she went to doctor in the first place

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Our expert says:
Expert ImageHeadache expert

Dear Sharon,

Nothing that they have found will cause headaches. Although headaches are more common in people with epilepsy, the two conditions are unrelated. Doctors do sometimes prescribe epilim for headaches as well as for epilepsy, but the results for headaches are not that good. It helps some people, but not others. With regard to the headaches, the only way to deal with them is to have an accurate diagnosis of what is causing the pain and which structure or structures the pain is coming from – only then can a rational treatment plan be instituted. Your daughter must have a proper medical assessment, which should include a neurological examination. The reason for this is to make absolutely certain that there is not some serious or life threatening underlying medical condition causing the headaches. Although this is uncommon, it is essential to exclude this possibility before doing anything else.

Once this has been done, then the next part of the investigation is started. The correct way to deal with the problem is to have a proper diagnosis of the underlying causes of the headache. To get to the root of the problem, your daughter needs what is called a “multidisciplinary” assessment. There are many different structures in the head and neck, all of which can be involved in the headache process, and no single specialist can have all the knowledge necessary to make a comprehensive assessment and diagnosis. For this reason, the combined the expertise of different specialists who would normally treat headache patients in isolation, are co-ordinated into a single more comprehensive body of knowledge. This enables a more comprehensive treatment plan, in which all the contributing factors are addressed. This assessment must include examination to determine the presence of tension in the head and neck muscles.

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 on 0861 678 911 (Johannesburg, Cape Town, Durban).

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 | 2010/09/16

Dear Sharon,

Nothing that they have found will cause headaches. Although headaches are more common in people with epilepsy, the two conditions are unrelated. Doctors do sometimes prescribe epilim for headaches as well as for epilepsy, but the results for headaches are not that good. It helps some people, but not others. With regard to the headaches, the only way to deal with them is to have an accurate diagnosis of what is causing the pain and which structure or structures the pain is coming from – only then can a rational treatment plan be instituted. Your daughter must have a proper medical assessment, which should include a neurological examination. The reason for this is to make absolutely certain that there is not some serious or life threatening underlying medical condition causing the headaches. Although this is uncommon, it is essential to exclude this possibility before doing anything else.

Once this has been done, then the next part of the investigation is started. The correct way to deal with the problem is to have a proper diagnosis of the underlying causes of the headache. To get to the root of the problem, your daughter needs what is called a “multidisciplinary” assessment. There are many different structures in the head and neck, all of which can be involved in the headache process, and no single specialist can have all the knowledge necessary to make a comprehensive assessment and diagnosis. For this reason, the combined the expertise of different specialists who would normally treat headache patients in isolation, are co-ordinated into a single more comprehensive body of knowledge. This enables a more comprehensive treatment plan, in which all the contributing factors are addressed. This assessment must include examination to determine the presence of tension in the head and neck muscles.

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 on 0861 678 911 (Johannesburg, Cape Town, Durban).

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