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What Do Severe And Excruciating Headaches Indicate?

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Posted on Sat, 2 Jul 2016
Question: Can a 4 month excruciatingly painful (bottom of neck up to top of head) headache be a vestibular migraine as diagnosed by ENT who now wants to do 5 hearing tests due to 1 dizzy spell lasting a couple mins. and 1 incident of vertigo for a few hrs. and also wasn't able to do the "drunk walk" and he prescribed the herb butterbur. I also was just diagnosed with a duodenal ulcer due to use of Aleve for the pain. I am 65 yrs young and also just diagnosed with Mastoid "fluid" in air cells found on MRI which was why I went to an ENT. My family DR. Prescribed 29 days of azithromycin then 10 days of Clindomycin which did help to reduce the frequency of headaches some. I also damaged 2 discs in neck due to auto accidents 30 years ago for which I declined surgical procedure and opted for Chiropractic treatment instead which alleviated the neck pain however the Chiropractor moved out of state18 months ago therefore I haven't had any adjustments since but no incidents of just neck pain til these headaches started but my neck does crackle when turning but without pain. My questions are 1) I understood the "fluid" in the mastoid to be a serious issue requiring resolution and 2) I felt a MRI or Scan of my neck should be done to see if that could be causing pain radiating up into my head and not "headaches" per se. I don't wish to have 5 hearing tests ( 2 of the tests are very expensive which my supplemental insurance will not pay for) if that is not cause of neck/head pain. I need some help here in which direction to follow for help and relief. Thank you for any advice you can offer.
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Answered by Dr. Dr. Erion Spaho (1 hour later)
Brief Answer:
Occipital neuralgia to be considered.

Detailed Answer:
Hello and thanks for using HCM.

I have read your question and understand your concerns.

Besides mastoiditis, that may be related to dizziness, vertigo, your type of headaches and your previous medical history related to neck damage, in my opinion points towards occipital neuralgia, a condition related to compression of upper cervical nerves that supply back and top of the head.

It is necessary to consult with a Neurologist and to have imaging studies of your cervical spine done ( x-rays, MRI ).

Hope I helped you.

Let me know if I can assist you further.

Greetings.


Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4493 Questions

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What Do Severe And Excruciating Headaches Indicate?

Brief Answer: Occipital neuralgia to be considered. Detailed Answer: Hello and thanks for using HCM. I have read your question and understand your concerns. Besides mastoiditis, that may be related to dizziness, vertigo, your type of headaches and your previous medical history related to neck damage, in my opinion points towards occipital neuralgia, a condition related to compression of upper cervical nerves that supply back and top of the head. It is necessary to consult with a Neurologist and to have imaging studies of your cervical spine done ( x-rays, MRI ). Hope I helped you. Let me know if I can assist you further. Greetings.