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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Headache,back Spasm And Nausea

I have had a headache for 8 yrs steady now have had 6 spinal taps within 2 yrs opening Pressure of 38-36 white blood cell count high MRI Normal last spinal tap was bloody now having Nausea, back spasms for 5 months could this be cause by the bloody tap
Sat, 28 Nov 2015
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General Surgeon 's  Response
Hi,Dear,Welcome with your query to HCM.
Studied your query in full depth of its details.Reviewed it in context of your health concerns.
Based On the facts, You mostly seem to suffer from-
?Meningism with mild infection with dural infection-post repeated spinal taps with IC pressure rise.Last tap causing it does not correlate with the the high IC (intra-cranial)pressure.

Treatment-
CT skull and brain to assess effects from raised IC pressure.
Clinical watch for any development to further deterioration is required from Physician / anaesthetic attending.
IV Antibiotics x 7-10 days time
With Tab Motrin-x ..."""....
Iv Mannitol with lasix to reduce the raised Intra-Cranial Pressure.
Other causes of Chronic headache need to be ruled out before treating the spasm of back and nausea accompanied with headache.
Second opinion from Anaesthetic or Physician would resolve this issue.


Hope that ,This reply would help you to plan further treatment soon with your treating doctors.Best of Luck and early recovery.
Welcome any further query in this regard,which would be replied in next
session.
Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
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Suggest Treatment For Chronic Headache,back Spasm And Nausea

Hi,Dear,Welcome with your query to HCM. Studied your query in full depth of its details.Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from- ?Meningism with mild infection with dural infection-post repeated spinal taps with IC pressure rise.Last tap causing it does not correlate with the the high IC (intra-cranial)pressure. Treatment- CT skull and brain to assess effects from raised IC pressure. Clinical watch for any development to further deterioration is required from Physician / anaesthetic attending. IV Antibiotics x 7-10 days time With Tab Motrin-x ... .... Iv Mannitol with lasix to reduce the raised Intra-Cranial Pressure. Other causes of Chronic headache need to be ruled out before treating the spasm of back and nausea accompanied with headache. Second opinion from Anaesthetic or Physician would resolve this issue. Hope that ,This reply would help you to plan further treatment soon with your treating doctors.Best of Luck and early recovery. Welcome any further query in this regard,which would be replied in next session. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist