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Painful burning in neck and head... Pseudotumor Cerebri?

From John Claude Krusz, MD, PhD, and Teri Robert, for About.com

Created: July 10, 2006

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

Question: Painful burning in neck and head... Pseudotumor Cerebri?

Answer:

Full Question:

I have been experiencing painful burning that starts in the base of my neck and goes all the way over my head. This generally comes on after I have been in bed for about an hour. If I stay in bed it radiates to my back, chest and arms. As soon as I get up it starts to go away. I also have been waking up with headaches and feel like pressure in my head. I had an MRI of my brain (Normal Thank God) and of my c-spine (slight bulging at C5-6 & T1-2) but Doctor does not feel that is the problem. I am seeing a Neurologist on May 10th. Could Pseudotumor Cerebri cause these symptoms. If so can anything be done about it. Thank You! Karen.
 

Answer:

Dear Karen;

This certainly could be related to altered intracranial fluid pressure, as one of many possibilities. There are medication that can specifically lower the pressure (i.e., acetazolamide, methazolamide) and possibly help the headaches. Although some patients exhibit papilledema as a symptom of PTC, not all do. The only truly definitive test for it is a lumbar puncture. Here's some additional information:

    What Is Pseudotumor Cerebri, aka Idiopathic Intracranial Hypertension?
    Simply speaking, Pseudotumor Cerebri is a condition in which the body either produces too much cerebrospinal fluid pressure or doesn't absorb it well, resulting in increased cerebrospinal fluid pressure. Pseudotumor cerebri literally means "false brain tumor" because it's symptoms mimic those of brain tumors.

Good luck,
Teri Robert and John Claude Krusz

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