I'm a 48 year old woman .It all started six month ago. I got intense and painful headaches. I got some tablets thinking it is my sinus but it didn't work. Then I went to visit a dentist though it was because of my teeth , but the headache still there never gone .then I went to An ophthalmologist she suspect that I may have Glaucoma but at the end she said I have something strange in my left eye so she've sent me to a number of neurologists. Everything is as it should be. I've been in hospitals for 7 days and they gave me Clot medications without being appeared in MRI or MRV. They said I have Pressure in the head (water)
. When I wake up I can't move my head, it’s throbbing on both sides of the head. I can’t see for 3 minutes after a while my vision will come. I've tried different kinds of tablets nothing works. Now I get bad nausea may be from the pills I continue to take.
I'm not sure if all these symptoms are related or if there are different things.
Also I have high blood pressure. I get pills for this too and I do feel better regarding the pressure. But when ever I stop taking them it gets high again.
Now am continues to have visual disturbance occasional heaviness of head and giddiness with slight head ache.
Any way below all the test I have done for more information:-
Name: Nadia Mustafa
Weight :79 kilos
Complains: head ache for six month, visual disturbance for one month.
Findings V.A corrected 6/6
Anti segment – Normal both eyes
Post seg. – Bilateral papilloedema with minimal minute hemeraghras at disc margin exudates .
BP 110/80 at times increase 140/90
Hb – 10.4 gm /dl ESR 48
WBC 7x1000 urea 38 – Na+ 136 K+ ¯ 3
T. Cholestrol 231
The sagital venus. Sinus , straight & right sigmoid sinus : Normal
Right jugular vein : Normal
Left sigmoid V.sinus & Jugular V. are not demonstrated .
Adv. Doppler left jugular two exclude thrombosis
U/S of left jugular vein
Normal Caliber patient through its full length and normal flow pattern on spectral analysis
Normal Doppler study of left jugular vein
1. ANA - by indirect immunoflurescence – negative
2. Anti's. D.N.A - by indirect immunoflurescence – negative
3. Anti cardiolipin - positive by EIA
MRI with contrast
Normal brain parenchyma
Normal brain stem
Overall finding within normal .
8/7/07 coagulation profile – Prothrombin time
Patient INR - 3.8
N. range INR (0.7 - 1.2)
Oral anti-coagulant therapy INR (2.0 – 4.0)
11/7/07 Prothrombin time
Pts INR - 2.8
16/7/07 pts INR 2.9
19/7/07 pts INR 2.0
Diagnosis - cortical sinus thrombosis ???
Moderate controlled HTN
Iron def. anemia
Dyslipedemia R/V C.T disease
Initially IV heparin 24hr drip for 3 days followed by Warfaran 5mg od- 1 week
4mg od – 1 week
3mg od – for 9 month .
Ferroussulfate 30mg bd
Atorvastatin 20mg od for 3 month
Amlodipin 5mg od .
I'm hoping you could help me or could someone here may give me an idea?
I'll be very grateful if you can diagnosis my illness.