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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Headaches Along With Numbness And Tingling In Arms

I have been suffering headaches for the past 4-5 months, I had a collapse and seizure at work ending in hospitalisation where a CT and spinal tap were done, they were both clear (unsure what they were looking for) I returned to my doctor just wanting answers. She has told me I have Tension Type Headache and prescribed Amitryptiline. I don t believe this is the cause because it does not explain the deterioration of my vision, numbness and tingling in arms & hands, loss of balance and inability to concentrate. I want a second opinion but we live rurally and doctors are scarce. What are your thoughts?
Mon, 20 Apr 2015
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Neurologist,  's  Response
Hello!
I read your question and understand your concern.
I would like to know more about your headache: the location, throbbing or like pressure, the duration and if you have nausea or intolerance to noise and light. I would also like to know your age.
There are many disorders causing a collapse, like : cardiac problems, metabolic problems, neurological problems, etc.
The numbness and tingling in your arms, blurring vision, inability to concentrate and loss of balance , put all together with a normal CT scan, make me think of psychological problems and anxiety . Tension type headache would be associated with this situation. It is typically a diffuse headache like pressure or tightening.
Although I would recommend a good neurological examination and a brain MRI just to exclude any other neurological disorder where the CT scan has a low sensitivity.
If everything results ok , I would recommend an antidepressant like sertraline or escitalopram.
Hope to have been helpful!
Thank you for using HCM!
Best wishes!
Dr. Abaz Quka
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Suggest Treatment For Headaches Along With Numbness And Tingling In Arms

Hello! I read your question and understand your concern. I would like to know more about your headache: the location, throbbing or like pressure, the duration and if you have nausea or intolerance to noise and light. I would also like to know your age. There are many disorders causing a collapse, like : cardiac problems, metabolic problems, neurological problems, etc. The numbness and tingling in your arms, blurring vision, inability to concentrate and loss of balance , put all together with a normal CT scan, make me think of psychological problems and anxiety . Tension type headache would be associated with this situation. It is typically a diffuse headache like pressure or tightening. Although I would recommend a good neurological examination and a brain MRI just to exclude any other neurological disorder where the CT scan has a low sensitivity. If everything results ok , I would recommend an antidepressant like sertraline or escitalopram. Hope to have been helpful! Thank you for using HCM! Best wishes! Dr. Abaz Quka