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Sometimes i get onesided headaches which are not much severe. But sometimes head aches in rythm like heart-beat that too unbearable which doesn't go away unless i sleep. It even increases when i stood from lying down or walk etc.

What could be the problem?


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replied June 5th, 2010
Headache and Migraines Answer A12889
Hi, and thanks for your medical question on eHealth forum!

A headache that worsens on standing up and improves or disappears on lying flat is a spinal headache. This happens when the CSF pressure in the brain falls. This usually happens after spinal anesthesia, spinal taps, or spinal injuries. However in some people this happens without a cause. This is known as spontaneous intracranial hypotension.

A procedure called an epidural blood patch, if is successful, even temporarily, it generally means the patient does indeed have a spinal headache. A small amount of the patient’s own blood is injected into the space between the dura and the bony spine known as the epidural space. If this causes temporary or permanent cure of headache, the diagnosis of spontaneous intracranial hypotension is confirmed.

Other tests are a spinal tap and measuring the pressure. Although spinal fluid pressure is usually low in patients with spontaneous intracranial hypotension, it can be occasionally normal due to variations in the spinal fluid pressure.
A dye can be injected into the spinal fluid and entire spine’s CT scan is taken to locate the leak.

Please discuss this with a neurologist. This may help you cure your headaches. Of course a confirmed diagnosis cannot be given on net, but there is no harm in discussing this with a neurologist.



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