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16 Apr 2006

migraine headaches
years ago i had a cat scan because i had been suffering from migraines for many years. the scan revealed that i had a large sulcus in the right frontal region.also a small diverticulum of the ventricle . should i be concerned?
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Expert
Headache expert
Headache expert

01 Jan 0001

Dear Theresa,

If the doctors who did the scan did not recommend any treatment, then you should not be concerned. There is also no chance that your migraines are related to the picture that the scan gave. As the scan has ruled out any serious brain condition, then the next step in the treatment of your migraines is to find out what is causing them and treat the underlying cause/s.

To get to the root of the problem, you need what is called a “multidisciplinary assessment”. There are so many different structures in the head and neck, all of which can be involved in the headache process, that no single specialist can have all the knowledge necessary to make a comprehensive assessment and diagnosis. For instance, a neurologist will examine the brain and nervous system, a physiotherapist will look at the muscles, a dentist will examine the teeth etc. For this reason, the “multidisciplinary assessment” combines and integrates the expertise of different specialists who would normally treat headache patients in isolation, into a single more comprehensive body of knowledge. This assessment must include a thorough examination of the head and neck muscles to determine the presence of abnormal tension. This enables the different members of the team to provide a co-ordinated treatment plan, so that all the contributing factors are addressed.

This information has been supplied and checked by the multidisciplinary team of specialists at The Headache Clinic, in association with The International Headache Society and the South African Institute of Headache and Migraine Science. For consultation with these specialists, call The Headache Clinic (Cape Town, Durban, Johannesburg) on 0861 678 911.
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.
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