I am experiencing cervicocranial instability at occiput and c1 c2 levels due to rheumatoid attacks. Rheumatologist dismissing these as rheumatoid related. Stabbing pain at c1, c2 skull base, episodic attacks and persistent for past 40 days. Developed following symptoms over last month due to this. Severe headache (scalp), paresthesia (burning around lips / mouth area), tinnitus, vertigo, occiput pain, double vision, hearing loudly (hyperacusis ), dizziness, balance issues, heavy head, pressure inside skull, when I shake my head I feel like brain is colliding with skull wall. Mild hearing loss confirmed by audiology test. Does mri - brain test help to identify the problem could this be traumatic brain injury / concussion? Which brain mri test to be done? Please advise. Consulted 3 top neurologists, taking hcqs, mtx (3 months), vertin 24, gabapentin, neurobion, omnacortil 20. Mri spine is inconclusive. Disc bulge at c5, c6 reported. Rest is normal. No upright mri in hyderabad.
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Dear lybrate-user, instability at c1-2 level can be concerning and give rise to pain at the back of head and headaches. The first which you need to look into is how bad is the instability and does it need to be surgically corrected. Consider visiting a neurosurgeon to have this assessed. If it it not bad then thereby be an option of injections with can be considered after an assessment by a pain specialist. Discs bulges at lower neck levels do not normally cause headaches but can lead to neck and shoulder pain. For certain neck conditions such as joint problems of often direct injections are the best way to figure out how much they are contributing to your pain symptoms. Hope this helps good luck.
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