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concussion six months ago from an IED explosion

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My son suffered a concussion six months ago from an IED explosion in his vehicle and is now having migraine headaches 6 months later. What tests should be done immediately and what medications should he be prescribed? Is it normal to have headaches 6 months later? A corpman told him he might have a ruptured eardrum and then the doctor said he didn't see that. Could a ruptured eardrum cause migraines as well?

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replied February 6th, 2011
Headache and Migraines Answer A19374
Hi, welcome to the ehealth forum and I am glad to help you.
You seem concerned by the headache in the post concussion period.
A concussion is a mild traumatic brain injury (actually, it's often now called by that name - MTBI). It's caused by a trauma to the head usually following vehicular accidents etc. There is a little knowledge about what concussion does to the brain but usually there are symptoms like headache,dizziness, nausea, confusion, irritability and lethargy. Sometimes there's amnesia, though it usually only lasts for a few hours.
Usually people recover but sometimes symptoms persist for weeks, months to years and it is called as post concussion syndrome which is difficult to treat. Headaches are a common symptom of the post concussion syndrome and these are managed with the usual medications used to treat migraine etc. depending on the type of headache. People who experience perforated eardrum-based vertigo typically experience lightheadedness or faintness along with the dizziness that comes with vertigo. Vertigo can also cause severe headaches, or migraines. Loss of hearing and tinnitus, ringing in the ears, are also typical symptoms that accompany ruptured eardrums and vertigo.
But in your case if the rupture of the eardrum has been ruled out then the diagnosis of post concussion syndrome can be considered and management designed in consultation with your personal physician/neurologist.
Hope this helps. Take care.
Note: This post is not to emphasise final diagnosis as the same cannot be made online and is aimed just to provide medical information and no treatment suggested above be taken without face to face consultation with health care professional.

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