
Suggest Treatment For Spasmodic Headache Which Resumes After Discontinuing Medication

I am having medication as mentioned below.
As per doctor I am having spasmodic headache. I feel relieved while having medication, but once I stop it, headache starts. I am taking medication for 2 weeks now, but I got relief only 30%. Can you please suggest if I need to go through any medication or tests for complete relief.
Need investigations to rule out the cause.
Detailed Answer:
Hi,
You have left sided unilateral headache in the occipital region. There are multiple reasons which can cause such type of headache like:
- Migraine
- Tension headache
- Neck muscle spasm ache
- Occipital neuralgia
- Mass lesion in brain
- Traumatic
As the doctor is suspecting spasmodic headache, he/she is suspecting it to be due to neck muscle spasms. To rule out other causes, you should ask him to get some investigations:
- MRI brain to rule out mass lesion like tumor, vascular malformation, benign lesion
- Visual acuity check up to rule out strain
- Neck muscle examination by him and physiotherapist to rule out spasm.
These basic investigations rule out almost 70-80% causes. After confirming the diagnosis, it is easy to treat the pain permanently.
Hope it will help you. Thanks. Take care.
Regards,
Dr. Ishu Bishnoi
Neurologist, Surgical

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