Tuesday, April 9, 2013

Cluster headaches or migraine or peripheral neuropathy?


Cluster headaches are rare, extremely painful and debilitating headaches that occur in groups or clusters. They often appear during seasonal changes. They are also described as suicide headaches, a reference to the excruciating pain and resulting desperation that has culminated in actual suicide.
A migraine is a form of vascular headache. Migraine headache is caused by a combination of vasodilatation (enlargement of blood vessels) and the release of chemicals from nerve fibers that coil around the blood vessels. During a migraine attack, the temporal artery enlarges. (The temporal artery is an artery that lies on the outside of the skull just under the skin of the temple.) Enlargement of the temporal artery stretches the nerves that coil around the artery and cause the nerves to release chemicals. The chemicals cause inflammation, pain, and further enlargement of the artery. The increasing enlargement of the artery magnifies the pain.

At Chloe's every three months visit to her Neurologist the focus was what else needed to be done. Chloe's reoccurring  left side headache and shoulder pain was our focus. The Doctor asked what I thought it was Cluster headaches or migraines? I shared that I thought it was peripheral neuropathy due to the bulging disc in her neck since birth the shoulder never developed properly. This also results from problems such as traumatic injuries, infection,metabolic problems and exposure to toxins. Chloe's left shoulder is still asymmetrical to her right and her shoulder as a whole looks crooked or twisted. Chloe showed the doctor what we were talking about and the neurologist agreed we might be right. The problem has improved with exercise but still noticeable but now easier to hide.

The doctor wants to try and control Chloe's pain from this problem. So the next step, a test will be set up to check  that Chloe does not have a certain problem. Then the Neurologist will try a small dose of and old antidepressant that decreases nerve swelling. Hopefully this will do the trick. If we can control the left side of her head and shoulder pain Chloe will be able to do more things.

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