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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Headaches?

I always have headache. Frontal and temporal areasand it s annoying because it is associated with dizziness at times. I have timnitus too and I sometimes have pressure on my Left ear. I had Mri and it shows foci of gliosis. I work in interventional radiology. Is radiation one of the causes of foci of gliosis. I ama migraine sufferer too
Wed, 24 Jun 2015
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  User's Response
Hello!

I read your question and understand your concern.

The frontal and temporal headaches you are experiencing seem to be related to a chronic daily headache, which is commonly overlapped with migraine.

The foci of gliosis are usually associated to migraine, but we can not exclude a possible radiation vasculitis ( though the doses of radiation are too small in your case).

Tinnitus and the pressure in the left ear may be related to a chronic inner ear infection (though the MRI scan has not reporting anything related to this) or a chronic damage of the vestibulocochlear nerve from radiation.

A consult with an ENT specialist and an audiogram may be helpful in excluding ear causes fo these symptoms.

I recommend you to consult with a neurologist for a careful physical examination. A brain angiography may be necessary to exclude a possible vasculitis related to radiation as the cause of gliosis.

Hope to have been helpful!

Greetings! Dr. Aida
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What Causes Persistent Headaches?

Hello! I read your question and understand your concern. The frontal and temporal headaches you are experiencing seem to be related to a chronic daily headache, which is commonly overlapped with migraine. The foci of gliosis are usually associated to migraine, but we can not exclude a possible radiation vasculitis ( though the doses of radiation are too small in your case). Tinnitus and the pressure in the left ear may be related to a chronic inner ear infection (though the MRI scan has not reporting anything related to this) or a chronic damage of the vestibulocochlear nerve from radiation. A consult with an ENT specialist and an audiogram may be helpful in excluding ear causes fo these symptoms. I recommend you to consult with a neurologist for a careful physical examination. A brain angiography may be necessary to exclude a possible vasculitis related to radiation as the cause of gliosis. Hope to have been helpful! Greetings! Dr. Aida