Out of ideas, please help!

[koopatroopa4]

My brother is 14. He has severe pain between his right eye and ear that does not stop, and has had it for a little over 6 months without any kind of remission. He’s been out of school ever since it started because it hurts so much. Sometimes it spreads to the left side of his head, but it generally stays only on the right, an inch in from his right temple. He says it’s about the size of a golf ball.

That is the first kind of headache he has. The other one (even though the first one is so painful) is even more painful. This one is very short (lasts about 60 seconds), and occurs randomly, about 60 times per day. He says it feels like lightning shooting around his head. Not relegated to only one place, like the first headache.

He also vomits several times a day and his hands lose some sensation, which could be due to the constant pain (I don’t know). It seems like his short term memory has gotten worse. Also, his right eye (the side that the constant pain is on) waters slowly and lightly but continuously throughout the day. There are other facial symptoms, except that his face often gets very red when the headaches get worse. He says that he has occasional muscle twitches and often feels weak during attacks (but that might be a given).

The headaches overlap, and he has them both every day. I have ruled out cluster headaches (they are longer but go into remission), idiopathic stabbing headaches (they go into remission and are pointed and relegated to a smaller area), tumors (he’s had an mri), trigeminal neuralgia (no pain in face and not triggered by touching face), and most kinds of migraines because they simply don’t describe his symptoms.

He’s been to a couple neurologists, but they diagnosed him with migraines and cluster headaches and the meds didn’t help him. Please, if you have any ideas, let me know because I’m out of them.

[koopatroopa4]

Sorry if I wasn't clear originally, the pain is about an inch inside his head from the temple, generally not in the face. Still, that doesn't rule out the things you suggested

[koopatroopa4]

I'll definitely do that. I'm not sure it's an earache or tooth problem because his ear doesn't hurt and his mouth doesn't hurt, it's more like a migraine. But if those symptoms can travel and I'm out of ideas regardless, it'll either be helpful or informational.
Thanks

[ggreg]

Well, if his MRI was clear, then that means he likely has a terrible infection going on either in his ear and/or in his sinus cavity.  It's also possible its a tooth molar that has abscessed.  The solution is for him to go to an ear nose throat ENT doctor, he can see if your brother has an infection in his ear or sinuses, and he can clean them out and give him drops or a spray to heal it up.  Or if nothing is found that way, then he needs to go to a dentist, and they'll x-ray his teeth and see if he's got an infection from a tooth.

When I was your brother's age, I had a roaring earache that hurt so bad, I had to lay down all day long for days.  Eventually a doc realized I had an infection in my inner ear, he cleaned it out with a saline solution, and gave me antibiotics and drops to make my ear well.  Now, a regular doc may have already proclaimed he doesn't have an infection in his ear or sinuses, so that's why you MUST go to an ENT doc, they specialize in all sorts of problems in the openings in the head and have seen this stuff a million times, and if anybody can help him, they can.  If he's already been to an ENT, take him back or take him to another ENT.  And if none of that works, he should see a dentist.