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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain In The Ear Radiating To The Head?

My husband, 69 yrs began having severe ear pain in his right ear. The pain radiates to that side of his head. Within a few days of the pain beginning, he developed swelling and pain so severe he could not function. Small scabs formed - the Dr thought it may be shingles. This was in March. He still has severe pain in his ear and head - at times he s not able to function. He has seen an ENT, had MRI s and other tests - nothing shows. Help
Thu, 29 Sep 2016
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General & Family Physician 's  Response
Hello.

Since you mentioned scabs, I too would have suggested herpes or shingles. But since that has been ruled out, we should now look at other possibilities.

The pain may either arise from any pathology of yhe ear or tooth or may be neurological. Since ear and tooth are normal, I would go with a neurological diagnosis.

There are many types of migraine some of which may fit the description of your husband's pain. The MRI in migraine is often normal. Even though migraines are seen more in the younger population we can consider it.

There is also something called giant cell arteritis. It is a type of vasculitis and it usually occurs in the 6th decade. A few immunological blood tests may confirm it. Please consult your neurologist or rheumatologist about it.

Hope this helps.

Regards
Dr Geeta
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What Causes Severe Pain In The Ear Radiating To The Head?

Hello. Since you mentioned scabs, I too would have suggested herpes or shingles. But since that has been ruled out, we should now look at other possibilities. The pain may either arise from any pathology of yhe ear or tooth or may be neurological. Since ear and tooth are normal, I would go with a neurological diagnosis. There are many types of migraine some of which may fit the description of your husband s pain. The MRI in migraine is often normal. Even though migraines are seen more in the younger population we can consider it. There is also something called giant cell arteritis. It is a type of vasculitis and it usually occurs in the 6th decade. A few immunological blood tests may confirm it. Please consult your neurologist or rheumatologist about it. Hope this helps. Regards Dr Geeta