Uncommon Neurological Symptoms: A Case Study - Neurology

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Your mother's symptoms, particularly the pulsating sensation in the temples and the increased severity of her headaches, warrant a thorough evaluation. Given her history of vascular issues and the medications she is taking, it is essential to consider several factors that could contribute to her current condition.

Firstly, the medications prescribed, such as Sibelium (flunarizine) and Licodin (which may refer to a combination of medications that include analgesics), are intended to improve blood circulation and reduce migraine frequency. However, they can also have side effects, including dizziness, headache, and other neurological symptoms. The pulsating sensation you describe, particularly if it aligns with her heartbeat, could be a form of vascular headache or a side effect of the medication.
It is also important to consider the possibility of a condition known as "pulsatile tinnitus," which can occur when blood flow near the ear is turbulent, leading to a rhythmic sound that can sometimes be felt as a pulsation in the head. This can be exacerbated by vascular issues or changes in blood flow dynamics due to medication.

Another potential cause of her symptoms could be related to increased intracranial pressure or other structural changes in the brain. Given her history of vascular blockage, it is crucial to rule out any new or worsening conditions that could affect her neurological health. This may include imaging studies such as an MRI or CT scan to assess for any abnormalities in the brain or blood vessels.

Additionally, the sensation of a "thumping" or "pounding" in the temples could also be related to tension-type headaches or migraines, which can be influenced by stress, anxiety, or changes in medication. If her headaches have changed in character or frequency, this could indicate a need for a reassessment of her treatment plan.

It is advisable for her to return to her neurologist or seek a second opinion from another specialist who can provide a comprehensive evaluation of her symptoms. This should include a detailed review of her medication regimen, potential side effects, and any necessary adjustments to her treatment. Furthermore, lifestyle factors such as hydration, diet, sleep quality, and stress management should also be considered, as they can significantly influence headache patterns and overall neurological health.

In summary, your mother's symptoms could be multifactorial, involving medication side effects, underlying vascular issues, or other neurological conditions. A thorough evaluation by a healthcare professional, including imaging studies and a review of her current medications, is essential to determine the underlying cause and appropriate treatment options.