
Suffering With Severe Headaches, Nausea With Vomiting. Ear Pain. MRI Showed Mucosal Opacification Of Sphenoid Sinus. Concerned?

I also have burning-type pain on the left side of face in my eye area and weakness in my left leg
You will need both....
Detailed Answer:
Hi,
I went through your post with diligence. It appears that you are suffering from severe headache, nausea and vomiting along with "pulsatile" tinnitus. The MRI scan of cervical region revealed mucoperiosteal opacification of sphenoid sinus and a retention cyst of fossa of Rosenmuller.
I understand the symptoms are troubling you. In my opinion you will need to see both ENT as well as neurosurgeon. The reasons being:
1. Retention cyst in the Fossa of Rosenmuller is an asymptomatic harmless condition. Most ENT doctor don't treat it; they would prefer to wait and watch. However mucosal opacification of sphenoid sinus might be due to sphenoid sinusitis which may be responsible for headache and vomiting. An ENT surgeon will be able to correlate symptoms and signs with MRI reports to exclude sinus inflammation.
2. Whooshing sound which disappear by pressing on carotid artery is called pulsatile tinnitus. I refer my patients to neurosurgeon after checking blood pressure to exclude carotid artery vascular abnormalities. Carotid artery doppler study / angiogram test is in order.
Burning pain on the left side of face and the weakness may or may no be related.
In short, I am a bit concerned; not because of what is seen on MRI cervical spine, but due to the nature of your symptoms. I would definitely urge you to get this sorted at the earliest. Visit the ER if your GP is unable to figure the reason.
If the headache and vomiting is not as bad as I perceive, you can fix an appointment with both - neurosurgeon first and next ENT surgeon.
Hope this helps. Let me know if you need clarifications.
Regards


We can wait for an appointment...
Detailed Answer:
If you are feeling better now then you can skip ER visit. Tylenol might help in controlling headaches until you visit the doctor. You can use it thrice a day for the next 3-5 days and thereafter as and when required.
If you are able to push for an early appointment, it would be better. I expect Tylenol to help you until then, if not you are free to write back to me.
Also discus avoid neurosurgeon referral with your doctor after ENT visit.
Hope this helps. You can close this discussion if you there are no more follow ups.
Best wishes

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