Posted 8/10/2009 10:11 PM (GMT -7)
Here is a copy of the "report" at the very end of the questions it SUGGESTS headache types and ask whether you agree or disagree with their suggestions...
Then you get this:
DISCLAIMER: The following information is intended to help a patient with headaches better describe their symptoms to their physician. It is by no means intended to serve as a diagnostic tool. The authors and sponsors of this service do not guarantee the accuracy or completeness of this document. In good faith this information is presented in a manner which may assist your physician to consider your headaches in a setting which will lead to a useful assessment of your problem.
The patient is a xx year old female using xyz birth control. The headaches started more than a year ago. Prior to the headache, the patient experiences unilateral aura, weakness which lasts less than 24hrs, temporary visual flickering, spots, lines, losses of vision with some of the headaches, temporary tingling or numbness sensations with some of the headaches, temporary disturbances of speech with some of the headaches and temporary weakness of an arm or leg with some of the headaches. The aura is generally one sided. Pain relieving medications have been used daily. This usage pattern has gone on for 6-12 months. Headaches have worsened the longer the rescue meds have been used. Usage pattern is consistent with medication overuse.
Headache frequency is that of a constant headache, one per day and daily. Headache duration is usually constant for many days and longer than a month. The patient describes headache free time as non existant.
Symptoms include one sided pain at least some of the time, pulsing or throbbing at least some of the time, having nausea and/or vomiting associated with the headache, light or sound sensitivity or discomfort during a headache, pain being usually in the temple, side of head or around the eye, one sided pain most or all of the time, a sense of restlessness or agitation during the headache, sensitivity to weather change (provoking headache), nausea along with headaches, vomiting along with headaches, light intolerance, sound intolerance, headaches which can be moderately intense, headaches which become severe and headaches which are very severe, unbearable. These headaches never shift sides.
Denies worsening of pain by moving or physical activity. Indomethacin was ineffective for preventing these headaches.
CORRELATION OF SYMPTOMS:
The ID Migraine criteria for migraine were met, based on the short form.
In the stricter sense, the combination of symptoms, as described, are consistent with the IHS definition of 1.2.2 typical aura with non-migraine headache. (IHS stands for the International Headache Society). Medical evaluation is needed to confirm these diagnoses.
Medication treatment attempts meds from the anti-inflammatory, ergotamine user, triptan, simple analgesic and opioid class. Specific analgesic medications include Tylenol (acetaminophen) containing products. Past use of Imitrex injection, Imitrex tabs, Imitrex nasal spray, Maxalt tabs, Maxalt MLT, Zomig tabs, Zomig MLT, Zomig nasal spray, Axert tabs, Relpax tabs, Amerge, Frova, Migranol (dihydroergotamine) nasal spray and DHE-45 injections was ineffective. Has never used Cafergot (ergotamine tartrate) or Wigraine (ergotamine tartrate). Currently using preventative medications from the antidepressant, the anti seizure, the antihypertensive and the antiinflammatory classes. Ineffective headache preventative meds, used in the past, include Prozac, Wellbutrin, Depakote, Topamax, Inderal (propranolol), Corgard (nadolol) and Calan (verapamil). Did not tolerate Elavil, Pamelor, Lexapro or Effexor. Has never used Sinequan, Parnate, Nardil, Norpramine, Celexa, Paxil, Cimbalta, Neurontin, Trileptal, Lamictal, Zonegran, Gabitril, Keppra, Blocadren or Cardizem (diltiazem) for headache prevention. Approaches such as physical therapy, special diets, manipulation of the neck, herbal preparations, hot packs and cold packs have not been helpful or have been poorly tolerated. Previously has sought help from a neurologist, an internist, a family practitioner, a general practitioner, an emergency room, a physical therapist and a chiropractor.
Sara-Migraine/Headache Forum Moderator
Battling headpain for 17 years.
DX: occipital neuralgia-radiofrequency nerve ablation every 6mo
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