Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Magnetic resonance imaging abnormal, Magnetic resonance imaging normal, Middle ear effusion, Muscle twitching
Clinical narrative: Towards the end of March, I realized I had a headache consistently day after day. I chalked it up to being a new mom, running a business, hormone levels?etc. The headache was mostly focused on my right temple area. It became constant and throbbing. The only time I didn?t feel it was when I was sleeping. It began to put pressure on my right eye and ear. My ear would pop like I was climbing in altitude and my eye felt pressure from the back of it. I decided it was time to see my GP on Monday 4/25. She saw fluid in my right ear and thought it may be sinuses but said it would be a good idea to get an MRI to rule out anything serious. I tried the sinus meds (over the counter) hoping it was that but scheduled an MRI for the next day.   I received an MRI on Tuesday 4/26. They ruled out anything urgent like a tumor, swelling or bleeding. But this left us with more questions. There were obvious white spots -- i.e.; White Matter Disease. The radiologist report included things like migraines, demyelinating diseases and vascular issues. My PCP called me on Wednesday 4/27 to read the report to me and put me on steroids to help with inflammation -- if that?s in fact what all this was. I took the steroids but it didn?t help.  Two days after the MRI, the symptoms (*see below for all symptoms) intensified. My Dr encouraged me to go to the ER, which I did on 4/29. I received a full blood panel and everything was normal. They gave me a ?migraine cocktail? which helped for about 24 hours.  Meanwhile, I met with a Neurologist per my Dr recommendation on 5/6 (Telehealth). He felt very confident this was not something like MS but said Idiopathic intracranial hypertension is more likely. He put me on Propanolol which was only to be taken at night which was weird - I could sleep just fine, it was when I was awake that the headache (and other symptoms) became an intrusion on my life. Although the Propanolol helped me sleep deep and without waking up, when I did wake up, I still had a headache.  We head down to another state on 5/7 and I went to urgent care first on 5/9. The doctor said she didn?t want to treat me for anything until I met with a Dr in case it was serious, she didn?t want to give me a something that could be more harmful. However, I received a sedimentation rate which came back normal which is a Temporal Arteritis indicator.   I met with a Dr on 5/10. A real gem. He ordered lots of bloodwork which all came back normal - thank God. The Dr gave me Eletriptan to treat migraines which seems to be working better than anything else. I have to take the max per day (3) in order for the headache to be completely gone. It should be noted that the day after I took the first dose of this, I had no headache that day.  The Dr recommends me to the Optometrist/Neurologist who I saw on 5/11. I had a full workup and the optic nerve looked normal and all my tests came back normal. My nerves were narrow so another Dr recommended an MRV to make sure everything was flowing properly.   I received an MRV on 5/18 and everything was normal.   As of 5/23, I?m still having symptoms although the Eletriptan is working but of course insurance only allows me 6 pills every 18 days so I need to just pay out of pocket for more. The conclusion with all this doctoring is that I have chronic migraines.   *Other symptoms include; tingling in my arms and legs (no numbness), severe neck, shoulder and lower back pain, twitching in fingers and left knee. I also feel weak in my arms and legs and very shaky - this is not all day but about 2-3 times per day. I experienced a streak in my vision that didn?t go away for about 15 minutes both when I opened and closed my eyes.