These are some of the notes from the Disability exam: 12/12/08 MRI of the brain and skull reported craniectomy changes of the posterior fossa; extensive areas of infarction of the cerebellar hemispheres in the PICA distribution as well as the pons and middle cerebellar penduncles. 4/23/09 VA neurology note: noted to have mild nystagmus on lateral gaze and mild 6th cranial nerve palsy with slight left facial droop. 1/6/11 DIAGNOSES: Stroke, affecting the bilateral cerebellum and pons, due to dissected vertebral artery, with the residuals of: fatiguing, mild dysphagia, mild aphasia, left hemiparesis with mild weakness and fatiguing and lack of endurance of left extremities, episodic tremors, episodic dizziness, headache from occipital muscle tension headaches, intermittent tinnitus. Although there is no evidence of damage to cranial nerve VI nor VII per se; the veteran has had damage to the pons, the area where the cranial nerves originate, the dizziness and tinnitus are consistent with inappropriate processing of signal coming from the labyrinth and cochlea along CN VIII to the areas of the brain damaged in the strokes.
For the last few weeks I have been experiencing some pretty terrible headaches; not the kind that you can relieve by rubbing your temples or taking Tylenol, but headaches that radiate from the back of my head. It seems as though I have tried several things to relieve them: taking naps, lying down on heating pads, taking Tylenol, turning the lights of, etc. but nothing seems to help. Now, I don't have them all the time, only a few days a week and I can tell that they are more from muscle tightness than anything else. I have been instructed to go the ER if they flare up again, because of my past history of headaches before my stroke, but most likely it is due to the muscles that were cut in the back of my head for the Craniotomy. I would say that most days I do not struggle with headaches at all; but, the days I do have headaches they are a doozy. I don't have blurred vision with them or sensitivity to light or sound; it just hurts. As I look back over the past 3+ years I realize...
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