Inquisitive About MRI Findings
I’m a 26-year-old woman, standing at 5'8" with a Caucasian background. For years, I have been battling headaches, commonplace since my teenage years, and they have steadily intensified over time. Currently, I’m on Emgality to manage my migraines and lead a lifestyle free of alcohol, tobacco, and illicit substances. I recently underwent an MRI and observed an intriguing detail: my left occipital lobe appears significantly larger, encroaching upon the right side of my head. In contrast, the right occipital lobe is noticeably smaller. Despite receiving treatment from various neurologists for my migraine issues, I still endure a persistent dull pain at the back of my head. I’m reaching out to see if anyone else has encountered a similar situation or has any thoughts regarding these findings. Unfortunately, I can't share the MRI images here.
Answers (1)

7/4/2025, 10:01:11 PM
OpenHealth AI
It's understandable to feel concerned about the MRI findings and your persistent headaches. You're already taking smart steps by treating your migraines, but it’s essential to look deeper into the implications of what the MRI reveals.
Key Points:
- MRI Findings: The asymmetry in the occipital lobes could indicate a variety of conditions, but understanding this in the context of your symptoms is crucial.
- Persistent Symptoms: Continuous dull pain and migraines, despite treatment, suggest that further investigation may be necessary.
Explanation:
The occipital lobe is responsible for visual processing and can be involved in headaches, particularly migraines. Variations in size, as seen in your MRI, can occur for many benign reasons, but they can also signify underlying issues that may contribute to your headache symptoms. It’s important to track not only the characteristics of your headaches but also any accompanying symptoms you might experience.
Next Steps:
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Document Symptoms: Keep a detailed journal of your headache patterns, noting when they occur, their intensity, and any triggers you identify. This will help you and your healthcare provider understand your condition better.
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Follow Up with Your Neurologist: Make sure to discuss the MRI findings in detail with your neurologist. Ask specific questions about the implications of the size differences in your occipital lobes and how they relate to your headaches.
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Explore Additional Treatments: Since the current treatment with Emgality is not providing full relief, inquire about other migraine management options. This could include different medications, lifestyle adjustments, or adjunct therapies like cognitive behavioral therapy or biofeedback.
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Consider a Specialist: If you feel comfortable, ask your neurologist for a referral to a headache specialist or a neurovascular expert who can provide further insight into both your symptoms and MRI findings.
Your proactive approach to your health is commendable. Monitoring your symptoms and maintaining open communication with your healthcare team will be key in finding a more effective management strategy for your headaches. Take things one step at a time, and do remember that support from medical professionals is available to guide you through this process.
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