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Q: Pain in left frontal lobe
asked by: DoctorQuestion on March 2nd, 2009
Quick, sharp pain that comes and goes. It is sometimes noticeable when I have a glass of wine or an alcoholic beverage or when eating or when drinking coffee. Also when at work and typing.

Have suffered from migraines for a number of years. And began taking Topamax in 2005 (I believe) as prescribed. Initially at 25 mg and then up to 100 mg. Stopped at 1 year because of issues with extreme dehydration.

Have also had several head injuries, the most recent was in late 2007 — in the same area where I have the pain.

Began having moments where I would black out while driving and months later, decided to see another neurologist who performed all sorts of tests and said the tests all came back fine.

Pain in left frontal lobe has been noticed for at least 1.5 years now. What may be causing the pain?


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Dr. Goce Aleksovski , MD
replied on March 3rd, 2009
Brain and Head Injuries Answer A5939



According to the data you provided, you might be experiencing migraine attacks again. The symptoms might be slightly different (duration, location, intensity) then the one you had experienced before. Your neurologist might decide whether you should turn back to Topamax or some other medication would be better to take.
This advice is given assuming that the neurologist had done visualization technique tests (Computer scan or Magnetic Resonance Imaging) to rule out other possible causes that would put pressure on the surrounding brain tissue, thus causing the symptoms.




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