Is gliosis dangerous
Health guide - headache due to gliosis?
I have had permanent headaches for six years. After an MRI examination, increased gliosis foci were found in the head. What does that mean for me? What do these gliosen foci do? The pain was triggered after surgical treatment six years ago. My family doctor recently prescribed me "Lyrica" capsules, which brought about a slight improvement. What else can I do to get rid of the headache?
Headaches have many different causes. In order to be able to assess more precisely where they come from and how to treat them, a detailed discussion and a detailed physical examination are necessary. It is not necessary to get an image of the brain in every patient with a headache. The probability that a patient with the typical symptoms of a migraine and a normal physical examination will have abnormal findings in the MRI is 0.2% and is thus as high as for people without symptoms. However, if there are special symptoms that may indicate a dangerous cause, or if the headache cannot be classified despite a detailed discussion and physical examination, a CT or MRI of the brain should be performed. In your case, it sounds like the headache cannot simply be traced back to a typical cause. In this respect, it was certainly correct to perform an MRI of the brain in order to rule out causes that require treatment. The glioses shown are probably an incidental finding and have nothing to do with your headache. Glioses in the brain are common, even in people without any symptoms. These are small scars that can have very different causes, but are usually completely harmless. Sometimes they are a normal aging process. Occasionally they are also found in connection with vascular diseases or inflammatory processes, but there is often a special distribution pattern. They are found somewhat more frequently in people who suffer from migraines, whereby the migraine (and its underlying pathomechanism) is the cause of the gliosis rather than the other way around. Depending on the multitude of causes, there are also many different medicinal and non-medicinal therapeutic options. However, these must be used very individually, both with regard to the cause of the headache and taking into account patient-specific side effects. Unfortunately, there is no solution that helps all patients with headaches. I am pleased that the treatment of your family doctor has meanwhile led to an improvement - if this is not enough, you could discuss with your family doctor whether a referral to a neurologist makes sense.
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