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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Tingling, Numbness In Right Side Of Face, Severe Headaches Behind Head. Suggestions?

Dear Dr. My name is XXXXXX I am 48 years old .Its for one week I feel tingling and numbness of my right side of my face it remain for one our and sometimes more and sometimes less also I have strong headache from time to time behind my head and some time in my right side please I need your help and advise It worried me to much. thanks with regards
Wed, 19 Dec 2012
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General & Family Physician,  's  Response
Dear Concerned.,
Thanks for writing to us.
Pls include in the history whether you are a Diabetic/ Hypertensive/are you on any medications for Migraine/fits/do you have h/o smoking/drinking/suddenly stopping smoking/drinking.
In all probabality if your condition is associated with prodromal symptoms as described above/with strong family h/o similar episodes/vomitting relieving the onesided head ache, then it is suggestive of migraine. Migraine is caused by an increased congestion in parts of brain due to blood suppy as a result of increased neurotransmitter (serotonin) release. The same is being treated after a complete work up by a neurologist by using (1)Analgesics(2)B-Blockers(3)Flunarizine(4)Ergot Alkaloids etc.,
The migrainous head ache could be due to Vascular Malformations also.
Inv;-Baseline blood and Urine Investigations,Radiological Investigations such as CT/MRI of Brain/ENMG due to tingling and numbness on right side of face.
As per the reports ,the differential diagnosis will be excluded one by one to arrive at a definitive diagnosis by Neurologist.Therafter the definitive treatment will be instituted.
wishing you Speedy recovery.,
Best Regards.,
Dr Lt Cdr ASN Bhushan.,
Ex_navy.
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Tingling, Numbness In Right Side Of Face, Severe Headaches Behind Head. Suggestions?

Dear Concerned., Thanks for writing to us. Pls include in the history whether you are a Diabetic/ Hypertensive/are you on any medications for Migraine/fits/do you have h/o smoking/drinking/suddenly stopping smoking/drinking. In all probabality if your condition is associated with prodromal symptoms as described above/with strong family h/o similar episodes/vomitting relieving the onesided head ache, then it is suggestive of migraine. Migraine is caused by an increased congestion in parts of brain due to blood suppy as a result of increased neurotransmitter (serotonin) release. The same is being treated after a complete work up by a neurologist by using (1)Analgesics(2)B-Blockers(3)Flunarizine(4)Ergot Alkaloids etc., The migrainous head ache could be due to Vascular Malformations also. Inv;-Baseline blood and Urine Investigations,Radiological Investigations such as CT/MRI of Brain/ENMG due to tingling and numbness on right side of face. As per the reports ,the differential diagnosis will be excluded one by one to arrive at a definitive diagnosis by Neurologist.Therafter the definitive treatment will be instituted. wishing you Speedy recovery., Best Regards., Dr Lt Cdr ASN Bhushan., Ex_navy.