Request for Assistance in Reviewing My MRI Results
Greetings! I’ve taken some time to muster the courage to reach out for help here. My goal is to effectively advocate for my health, and I genuinely appreciate any assistance you can provide. To provide a bit of background, I’m a 29-year-old Asian woman, standing at 154 cm and weighing 129 lbs. For several years, I’ve been experiencing persistent headaches, particularly localized to the left side of my head. I’ve noticed that when I feel sleepy, the sensation is accompanied by a throbbing pain solely on that side. Back in 2015, I was diagnosed with migraines by a neurologist and prescribed Flunarizine. Interestingly, one of the unexpected effects was that it regulated my menstrual cycle to 27 days, whereas I had typically cycled every 30 days or more. Unfortunately, its effectiveness diminished over time, leading me to manage the discomfort myself as the headaches were mostly mild. Additionally, consulting neurologists became quite costly. Everything escalated in late July 2024, when I accidentally struck my head against a metal barricade while attempting to duck under it. The impact caused a significant increase in pressure within my head, akin to the sensation of being submerged in water. This is where my situation became more alarming; my blood pressure, which usually stabilizes at around 120/80, spiked to 140/110 and persisted at that level for several days. I consulted several internal medicine specialists who prescribed blood pressure medication, but one of them actually listened to my concerns and prescribed Pregabalin, which proved to be remarkably beneficial. However, during the second week of August, my blood pressure unexpectedly soared to 180/120, leading to an emergency room visit where I underwent a specific MRI. The results indicated everything was normal, except for a 3mm Rathke Cleft Cyst, which I’ve learned is typically benign and poses no significant risk. I have since revisited my prior neurologist from 2015, yet he did not elaborate much despite my inquiries, thus prompting me to seek assistance here. I am keen on obtaining another MRI at the same interval as last year to have current material for comparison when I finalize a new physician. Additionally, I’ve observed tenderness in areas around the left side of my head, particularly near my eyebrows and above my ears, which feels reminiscent of the dull ache associated with a bruise. I’m unsure if this will be taken seriously, but your support would mean a lot. Thank you so much! ❤️
Answers (1)
7/17/2025, 1:10:58 AM
OpenHealth AI
Thank you for reaching out and sharing your health concerns. It’s clear that you have been facing a challenging situation with your persistent headaches, elevated blood pressure, and recent MRI results. Understanding and advocating for your health is important, and I appreciate your commitment to finding clarity in your circumstances.
Main Points
- Your MRI results indicated a benign Rathke Cleft Cyst, but ongoing headaches and recent spikes in blood pressure need careful management.
- The tenderness in your head and the history of migraines suggest that a comprehensive approach to your symptoms is wise.
Explanation
The Rathke Cleft Cyst is typically non-threatening, and many people live without issues related to it. However, your history of migraines and new symptoms—like the tenderness in the left side of your head and the recent spike in blood pressure—are definitely worth monitoring. The increase in blood pressure, especially that reached 180/120, is concerning and not typical, even in someone experiencing stress or headaches.
Next Steps
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Monitor Symptoms Closely:
- Keep a daily diary noting the frequency, intensity, and location of your headaches. Include any triggers and note the tenderness area around your eyebrows and ears. This will provide valuable information for your healthcare provider.
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Regular Blood Pressure Checks:
- Track your blood pressure at home, especially during episodes of headache or tenderness. Share this information with your physician.
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Consider a Follow-Up MRI:
- Since you are seeking continuity in your imaging, discuss with a healthcare provider the possibility of scheduling another MRI for comparison, especially if your symptoms persist or worsen.
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Consult a Pain Specialist:
- Given your ongoing discomfort, consider speaking with a headache specialist or pain management doctor. They can offer tailored treatments or therapies for migraine management and other symptoms you're experiencing.
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Healthy Lifestyle Adjustments:
- Maintain a balanced diet, regular exercise, and sufficient hydration. Sometimes, lifestyle changes can help regulate blood pressure and reduce headache frequency.
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Keep Communication Open:
- When speaking with your healthcare providers, ask direct questions about your treatment options and be sure to express any specific concerns you have regarding pain, pressure, and medication effects.
Remember, it’s essential that you feel heard and understood in your health journey. Advocating for your needs is important, and seeking out professionals who take your concerns seriously will help you manage your health effectively. If you have further questions or updates, please feel free to share them. Take care! ❤️
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