I saw a neurologist regarding my 13mm pineal cyst and the fact that every so often, I have headaches that are excruciating at times, accompanied with nausea and dizziness, as well as intracranial pressure. When I don't have a particularly bad headache, I generally have "heavy headed" feeling every day, along with a feeling of pressure build-up in the upper half of my cranium, if this makes any sense. Usually a dull ache, of varying pain/intensity is present, but not as frequently as the pressurized feeling.
My neurologist really tuned into the fact that I get headaches and said I have migraines, prescribing me 25mg Topomax daily. I'm wondering how I can better differentiate to him at my next visit my feelings of pressure in my head, versus actual pain? I feel a lot more pressure, but this is sometimes accompanied with a dull ache or a really bad ache. Is this consistent with migraines? I was also a little surprised he wouldn't look at my MRI images (this is the first time I saw him as a patient). He said that radiologists are the experts at reading MRIs, so he trusted the radiologist's report...even though I wanted him to look at something my GP was concerned about, too, near my superior sagittal sinus. I also wanted him to look at the pineal cyst, too, just to see if he picked up on any details the radiologist may have missed. Just wondering--is this standard procedure, or if I'm concerned should I almost insist that he take a look at the images for me? I didn't want to overstep any boundaries, especially given that we were meeting for the first time.
Thanks for your help!