Hi,

Thank you for posting your query at DoctorSpring.com. I have noted your symptoms and it is unfortunate that a diagnosis has not been made even after six months.

Your symptoms require evaluation by a neurologist. In view of headache, nausea, blurred vision and possible seizures, we need to exclude an internal brain problem, such as tumor, clotting of blood in brain veins, infections, etc. This can be done by doing an MRI scan of brain, with contrast.

If MRI is normal, then, migraine can also explain some of these symptoms.

As of now, for symptom relief, you can take diclofenac or ibuprofen tablet for pain relief, and ondansetron for nausea/vomiting.

I hope it helps. Please get back if you have any follow-up queries.

Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist

Thank you for getting back and providing more details.

CT scan showed sinus infection and it was well treated.

However, symptoms have worsened and it would be better to undergo an MRI scan of brain to find out any other brain-related problem (which are better seen on MRI), and also, the sinus problem (whether it has improved or not) can be seen on the MRI.

I hope it helps.

Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist

Thank you for getting back.

The possibility would depend on clinical examination also. However, based on the information available, the possible differential diagnoses could include:

1. Migraine,
2. Cerebral venous sinus thrombosis,
3. Benign intracranial hypertension,
4. Brain tumor (less likely)

I hope it helps.

Best wishes,

Hi,

Thank you for getting back.

Since there is a change in character and severity of headaches, it may be better to proceed for detailed evaluation, including an MRI scan of the brain.