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Date Posted: 17:55:49 01/31/07 Wed
Author: Vancomycin
Subject: Re: 個頭右邊好痛!!
In reply to: PoT@To 's message, "Re: 個頭右邊好痛!!" on 13:33:52 01/31/07 Wed

>>>.....
>>>面部表情無問題∼！
>>>
>>>ｕｍ．．之前個份唔知會唔會拎到．．
>>>不過磁力共振可能會拎到．．因為係浸會到做∼
>>>
>>>大約係ｄ咩事．．ｅ生．．！可唔可以講下你既推測．．
>>
>>(sorry something is wrong with my home ISP and I can
>>only type English now...)
>>
>>It can be anything from simple migraine attack to some
>>focal abnormality or lesion in your brain, compressing
>>some nerves (we call them cranial nerves)... however,
>>since I do not have your radiology report (and your
>>doctor said the report was normal) the chances of
>>having intra-cranial lesion is tiny.
>>
>>The best thing is to get referred to a neurologist
>>(doctors specialized in the nervous system) and have a
>>complete work up in neurological exam to find out what
>>is wrong. Your doctor will write you referral letter
>>if he thinks it is necessary to refer you.
>>
>>Good luck! :-)
>
>好的好的．．！
>我都要等星期５個報告睇下ｅ生點講ｓｉｎ算．．
>不過今日同埋琴日∼ｄ頭痛明顯地少左好多！
>之前一個鐘痛成３０次左右∼ｅ＋一日都痛唔到２０次∼
>
>會唔會係神經發炎？？

It is uncommon to get neuritis or inflammation of the nerve in the head, but if you had one it's usually the 5th nerve (e.g. trigeminal neuralgia) which has its characteristic distribution that is not "intracranial".. and inflammation of arteries (e.g. giant cell arteritis/temporal arteritis)... all of these abnormalities (blood vessels and nerve) usually present in young, obese women and in the old age (but cannot rule out the occurrence in young male entirely, just very very rare)... an even more rare diseases in Hong Kong is multiple sclerosis which presents (usually) with optic neuritis, but chances of you born in HK to have MS is ~0%

If your doctor cannot find out the cause of your headache he will make referral to neurologists, who will look into other (often more atypical) causes and treat accordingly.

Hope this helps; and hope your headache goes away! :-)

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