Hi, this is Neuro Doctor, an American Board Certified Neurologist with vast clinical experience, and I am very glad to help you with your question.
Were you getting any similar headache prior to the episode of hypertensive encephalopathy or this started after this episode?
I never get headaches, this head pain started in June, and I ignored it till landing in the hospital, so my answer is it all started with the out of control blood pressure
Hi, I am currently assisting another patient and I will follow up with you at the earliest, thanks!
Okay I am back, thanks for the waiting!
Okay I see this headache started after this hypertensive episode
so this is for sure related to this encephalopathy
this is generally expected to resolve by this time
Yours is unfortunately still persisting
But this should resolve eventually
If the headache pattern is not changing, or the intensity not worsening then you do not need any brain scan now
but if the headache worsens or if pattern changes then you need a brain scan. I am sure you had a scan during this episode, and this may help as a follow up scan
but scan is unnecessary if the headache is not worsening or not changing the pattern
you may continue with ice and heat as before
For additional control you may try meds like Amitriptyline or Baclofen which can help in alleviating this type of pain or headache
This is residual headache from the hypertensive encephalopathy and this should resolve eventually, it may take another few weeks or so but definitely expected to resolve completely and until that time you may try one of the above mentioned meds to control the symptoms.
This is due to some residual swelling and once the swelling all gets cleared up the headache should resolve completely and it should not take long time as pointed above.
Please go through the above information and let me know if you have any further questions or if you want to discuss this further.
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