Hi, Two days after the 2008 season flu shot (shot on 11/19, first episode on 11/20), I had a sudden crescendo-like headached lancinating pain (9 on 10 high scale) about 1 inch above the ear and incidental but uncomfortable heat and tingling radiating towards temple area, upper external ear, right side neck, in front of the scapula, skipping the shoulder, running down the top of my arm and ending in the thumb, forefinger and third finger. I had no head trauma, just a regular day. The first two episodes were 3 days apart, pain at 9 on a 10 high scale (visited emergency room both times due to extreme pain) and lasted 1 hr 40 minutes and occurred just after I layed down to sleep. All the usual suspects were ruled out by neurologist. Currently taking 200 mg of carbomazepine at 8 pm trying to manage pain with subsequent attacks, seven more to date of varying intensity but shorter in duration, approximately 1 hour now. MD and neurologist DO suspect idiopathic Trigeminal Neuralgia, but rolled their eyes over the burning, tingling sensation in arm. I see though that occipital neuralgia makes more sense for the area of lancinating pain, but that does not explain the concurrent presence of the arm and right side neck heat and tingling. I am completely befuddled how this occurs at exactly the same time (totally synchronized).
By the way, I am 56, 20 lbs overweight, am getting a consultation soon over elevated TSH and cholesterol, take Bisoprol 6.5 mg daily for borderline hypertension, but otherwise am quite healthy, exercise regularly and have not had even a slight cold in 2 years.
I was in a car accident 8 years ago and did a head plant and rotation while skiing at age 29 (heard my C1 - C7 go crunch). In the car accident, I landed (literally) with my head turned to the right over my right shoulder likely at about 40 mph after hitting black ice and departing the road perpendicular to the highway and dropping 20 feet (with seat belt on -- thank God I was in my Tahoe or I probably wouldn't be writing this). Nothing broken, but for about 1 year I had pulsating pain radiating up two lines on the left and right side of the back of my head and terminating at the top, but only intermittently and a frequency about 2 per month and then again repeated about 2 years after the accident and then nothing.
My question is: Is there some relationship between occipital-cervico-brachial-trigeminal nerves such that these symptoms would present at the same identical time in cadence rising in this crescendo manner, sustaining a level of intensity and diminishing all at the exact same time? Thank you for your time, puzzled and hoping to steer my doctors to a diagnosis as I am in rural America with no access to a major neurology clinic. Cheers, Outsidetheboxgirl.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.