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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Headache When Lying On The Back?

I have pressure when lying on my back, left and right side of my head. There is some fullness in my ears when lying on either sides and headaches. When sleeping on both sides the pressure starts. Done MRI and and ct scan and there is nothing.what could be the problem?
Mon, 12 Dec 2016
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General & Family Physician 's  Response
Thank you and very pleased to anwer you
The clinical aspects of intracranial hypertension (ICH) often differ in their presentation in symptomatic tables depending on the mode of constitution of the ICH, although the clinical severity is not really related to the absolute values of the ICH.
Signs of HIC can develop in an acute or sub-acute mode, rapidly threatening the patient's life by the mechanical consequences that creates lesions on the brainstem, while the pressure values are not always very high.
Conversely, some clinical situations of HIC may evolve over several weeks or even months, with ICH numbers that can rise in a paroxysmal manner in the vicinity of systemic blood pressure, without the clinical signs appearing to be very disturbing . It is classical to separate the signs of ICH, called compensated, and those that belong to the evolutionary complications that represent the cerebral commitments.
For those reasons, I call you to do a consultation in a neurologist in order to exclude an ICH and to do a checkup for your hemodynamic changes related to position.
best wishes
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What Causes Severe Headache When Lying On The Back?

Thank you and very pleased to anwer you The clinical aspects of intracranial hypertension (ICH) often differ in their presentation in symptomatic tables depending on the mode of constitution of the ICH, although the clinical severity is not really related to the absolute values of the ICH. Signs of HIC can develop in an acute or sub-acute mode, rapidly threatening the patient s life by the mechanical consequences that creates lesions on the brainstem, while the pressure values are not always very high. Conversely, some clinical situations of HIC may evolve over several weeks or even months, with ICH numbers that can rise in a paroxysmal manner in the vicinity of systemic blood pressure, without the clinical signs appearing to be very disturbing . It is classical to separate the signs of ICH, called compensated, and those that belong to the evolutionary complications that represent the cerebral commitments. For those reasons, I call you to do a consultation in a neurologist in order to exclude an ICH and to do a checkup for your hemodynamic changes related to position. best wishes