Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
Suggest Treatment For Headache, Vomiting And Light Sensitivity Despite A Normal CAT Scan Report
My daughter has been having headaches for a solid month along with nausea, vomiting, light sensitivity, loss of appetite. We have ruled out the following thru different testing, vision changes, strep, limes disease, mono, cat scan came back fine and blood work looked normal. What should I do I am so stumped.
Tue, 23 Apr 2019
Hi,
She has all the salient features for suffering migraine headaches. The only question (which seems to have answered at this point) is whether or not the headaches are being caused by something or if they may simply be primary (i.e. not due to anything specific other than her predilection for such headaches).
If the CT scan is negative for intracranial mass lesions I would order an MRI of the brain and look for any obstruction to the flow of CSF such as would be seen in a Chiari malformation which is more common in the population than is diagnosed.
There could be other things in the neck triggering migraine-like headaches that CT scan may not pick up such as nerve roots being pinched or even the spinal cord itself being impinged upon so that an MRI of the cervical spine may also be worthwhile looking at if she complains at all of the neck, shoulder, or arm pains that travel.
If all workup is unrevealing then, I would simply treat her with antimigraine medications and try and break these before they become chronic.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Dariush Saghafi, Neurologist
She has all the salient features for suffering migraine headaches. The only question (which seems to have answered at this point) is whether or not the headaches are being caused by something or if they may simply be primary (i.e. not due to anything specific other than her predilection for such headaches).
If the CT scan is negative for intracranial mass lesions I would order an MRI of the brain and look for any obstruction to the flow of CSF such as would be seen in a Chiari malformation which is more common in the population than is diagnosed.
There could be other things in the neck triggering migraine-like headaches that CT scan may not pick up such as nerve roots being pinched or even the spinal cord itself being impinged upon so that an MRI of the cervical spine may also be worthwhile looking at if she complains at all of the neck, shoulder, or arm pains that travel.
If all workup is unrevealing then, I would simply treat her with antimigraine medications and try and break these before they become chronic.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Dariush Saghafi, Neurologist
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Loading Online Doctors....