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Suggest Treatment For Pain Behind The Ear And Twitching Of The Eye
Question: I have pain behind ear up in sinus cavity to my eye with eye twitching. Varying degrees sometimes pain feels like ice pick but never goes away. I have had this forever but now just seems to be getting worse. It's only on one side my right. when I lay down the pressure is so bad goes right to those spots. Scared I have something serious. Have a neurologist says it's maybe cluster headaches but this pain doesn't go away
Brief Answer:
Trigeminal Neuralgia or migraine variant headache.
Detailed Answer:
Hi,
Thank you for your query.
1. A Sinus CT Scan must be done to rule out any sinusitis and to check if the nasopharynx (area behind the nose) is clear.
2. Trigeminal Neuralgia must be ruled out. A trial with medications for neuralgias (such as amitriptyline, carbamazepine, gabapentin and pregabalin) will be worthwhile to begin with.
3. Migraine medication should also be tried out to rule out migraine associated variants.
4. A long standing neuralgia is not likely to be serious. However, long standing neuralgias are more difficult to treat than new cases.
5. A contrast enhanced MRI can also help compare the cranial nerves, nerve roots, blood vessels and brain on the affected and the normal side.
I hope that I have answered your query. If you have any more questions I will be available to answer them.
Regards.
Trigeminal Neuralgia or migraine variant headache.
Detailed Answer:
Hi,
Thank you for your query.
1. A Sinus CT Scan must be done to rule out any sinusitis and to check if the nasopharynx (area behind the nose) is clear.
2. Trigeminal Neuralgia must be ruled out. A trial with medications for neuralgias (such as amitriptyline, carbamazepine, gabapentin and pregabalin) will be worthwhile to begin with.
3. Migraine medication should also be tried out to rule out migraine associated variants.
4. A long standing neuralgia is not likely to be serious. However, long standing neuralgias are more difficult to treat than new cases.
5. A contrast enhanced MRI can also help compare the cranial nerves, nerve roots, blood vessels and brain on the affected and the normal side.
I hope that I have answered your query. If you have any more questions I will be available to answer them.
Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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