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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In The Base Of The Skull. Pain Worse On Laughing. Have Migraine. Advice?

Hi i'm Ranjith, a software engineer suffuring from this rare symptoms. I do get terrible pain in the base of my skull where the neck almost meets the skull part. the pain is usually in two points when i laugh too much. I have to stop laughing to get rid of pain, i never get this pain apart from when i laugh too much tough I have migraine. Could you please help me in understanding this??
Thanks in advance
Sat, 11 May 2013
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Neurologist 's  Response
Hi,
Based on your history you are suffering from occipitonuchal headache.You need to consult neurologist for clinical examination.You require MRI cervical spine to rule out craniovertebral anomaly and also screening of brain.Meantime you have to continue your migraine prophylaxis drugs and painkillers for relief of local inflammation.Take precautions, avoid laughing, weight bearing ,till you are seen by neurologist and investigated.
Regrads
Dr Sandhya Manorenj
Neurologist
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Pain In The Base Of The Skull. Pain Worse On Laughing. Have Migraine. Advice?

Hi, Based on your history you are suffering from occipitonuchal headache.You need to consult neurologist for clinical examination.You require MRI cervical spine to rule out craniovertebral anomaly and also screening of brain.Meantime you have to continue your migraine prophylaxis drugs and painkillers for relief of local inflammation.Take precautions, avoid laughing, weight bearing ,till you are seen by neurologist and investigated. Regrads Dr Sandhya Manorenj Neurologist