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Wednesday, December 2, 2009

migraine or tumor ???

entry kali ni, tuk kita share info sesama... ttg health... ttg migraine n tumor... one case i've been read from net make me suprise... ye laa... ku jgk ade migrain... im suffer as young as 10 years old.. lbh kuang same ngan owg dlm kes ni...

A woman in her 40's presented withdizziness, imbalance and headaches. There were 5 years of symptoms, provoked by a combination of stress and the time of the month. Before the symptoms, she became flushed, tired and have a headache. There has been a history of migraine headaches roughly since the age of 10.

On examination:
The general examination was normal. Under video frenzel goggles there was a minor upbeating nystagmus on head right, but nothing on head left. Hyperventilation provoked a weak left-beating nystagmus. Valsalva testing was normal.

This patient has classic signs and symptoms of migraine as well as the physical findings of mild BPPV. Nevertheless, in addition to treatment aimed at migraine, she was sent for an MRI of the brain.


Her MRI showed a tumor of the cerebellum. A sterotaxic biopsy suggested that this is a cerebellar neurocytoma. This is a rare tumor, that mainly occurs in other locations close to the lateral ventricles. More about neurocytoma can be found here.

In this patient, had no MRI been done, it seems likely that she would have deteriorated neurologically and done worse. Thus there is a risk of missing the diagnosis of a more serious problem in migraine. This example leads one naturally to wonder whether or not individuals making this diagnosis acting without physician oversight, may need more comprehensive malpractice insurance than those who are not.

actually, im neves and handshaking when read this... ape lg bile tgk MRI X-ray tuh...urmm..bagi ku... saket kpala adalah salah satu drpd ribuan penyakit yg kita xdpt lihat fizically... no bleeding, no crash, no everythg... hanya owg yg mengalaminya tahu betapa berat tuk tgg kesakitan itu... dan penah dulu, seorg DR. bgtaw aku...bkn sng nk dpt line up tuk wat MRI.... ramai lg yg tgh tgu giliran, tuk wat pemeriksaan dgn kadar yg segera aku perlu buat dkt swasta hospital... guess what...DR. tu ckp its cost u dlm RM 500++ JEEERRR....adussslaaaa... itu bkn satu amount yg kita leh gne tuk mcm2 tu sja kn??? urmmm... aku harap satu hari nti, akan ada kemudahan tuk ini, pemeriksaan dan pengesanan penyakit pda peringkat awal ptg tuk memastikan its goes really well kn?? bygkn berapa nyawa yg anda dpt selamatkn...

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