
What Causes Severe Pain And Pressure On Forehead Above Eyes With Normal MRI?

Endoscopy of ENT- CT of Mastoids.
Detailed Answer:
Hi.
Thanks for your query.
First of all I would like to know your exact symptoms, the way they started 30 years back, through the last 30 years and now - at the moment.
If the first consultant has said that MRI shows clear sinuses, it must be true.
If the sinuses are clear, there is no role of FESS. If the sinuses are clear on MRI , there is no chronic sinusitis.
I would advise such patient the following:
Clinical examination and endoscopy of the ears, nose and throat. This will make clear the diagnosis.
CT scan of the mastoids to determine the exact extent the ears have suffered .
Blood investigation - Complete blood picture, Sugar, thyroid function tests,
X-ray chest
You may please the photos of the ENT Endoscopy , if you have attached to this query.


Investigations and second opinion.
Detailed Answer:
Thanks for your feedback.
Read and re-read the history provided by you.
I was wondering if all these things have to do with your problem under discussion.
I was thinking of a condition called ''vaso-motor rhinitis''. This can lead to all the symptoms you have once there is super-added infection.
I would advise you the following, may be as already suggested :
Get the second opinion of another ENT Surgeon for Clinical examination and endoscopy of the ears, nose and throat. This will clear the diagnosis.
CT scan of the mastoids to determine the exact extent the ears have suffered .
Blood investigation - Complete blood picture, Sugar, thyroid function tests,
X-ray chest
And a fresh contrast enhanced CT scan or MRI of the nose and sinuses to know the exact position of the problem.
The secretions if present: have to be sent for microscopy- gram staining, culture and sensitivity. This may help in diagnosis and further management.
Let us see the reports ten decide further.
Till then please continue all the medical treatment you are already on.
Dr T Chandrakant
ENT and General Surgeon

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