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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Headache Followed By Dizziness & Tingling In The Eyes And Face?

21 yr old healthy girl with 1 month onset of constant headache and dizziness, eyes and face feel tingly. MRI neg, blood work including thyroid WNL, OBGYN took her off BC 2 weeks ago - no improvement. Saw neurologist and dx of migraines - gave maxalt and an anti-anxiety med. Nothing has helped. Headaches are dull, pressure, aching behind both eyes and frontal lobe. Also, opthamologic exam completely normal. No nausea and sleeping, eating well. Any thoughts?
posted on Fri, 10 Oct 2014
Twitter Wed, 24 Jun 2015 Answered on
Twitter Thu, 25 Jun 2015 Last reviewed on
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  User's Response
Hello!

Thank you for asking on HCM!

Regarding your concern, I would like to explain that her symptoms seem to be related to a tension type headache or a new daily headache.

The facts that she has no nausea, and all her tests (including the MRI) have resulted normal are all arguments in favor of these diagnosis. The diagnosis of sinusitis is excluded with the MRI findings.

So I would recommend to start on an antidepressant like amytriptiline or nortriptiline. If she has not good tolerance to these tricyclic antidepressants, I would advise paroxetine or fluoxetine.

Hope to have been helpful!

Greetings! Dr. Aida
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What Causes Persistent Headache Followed By Dizziness & Tingling In The Eyes And Face?

Hello! Thank you for asking on HCM! Regarding your concern, I would like to explain that her symptoms seem to be related to a tension type headache or a new daily headache. The facts that she has no nausea, and all her tests (including the MRI) have resulted normal are all arguments in favor of these diagnosis. The diagnosis of sinusitis is excluded with the MRI findings. So I would recommend to start on an antidepressant like amytriptiline or nortriptiline. If she has not good tolerance to these tricyclic antidepressants, I would advise paroxetine or fluoxetine. Hope to have been helpful! Greetings! Dr. Aida