What is this?

[mishele75]

I'm not sure what this is.  For a few months, I've been getting some pressure in my left temple.  Every once in a while, I would get a quick stabbing pain in the left temple and behind the eye.  The pain never lasted longer than a few seconds.  Then I started getting sensitive to light at odd times - not necessarily when the pressure or pain was present.  However, in the past few days, I've noticed the pressure building more and at points my whole head feels like it's in a vice, then it goes away.  Its seems to subside a bit if I rub my temples.  

I'm a pretty healthy 32 yo woman with 20/20 eyesight (just went to the eye doc) and I don't have any symptoms of a sinus problem (runny/stuffy nose, etc).  

Does anyone else get these symptoms?  Are they something to worry about?

[Vanessa Lacuesta]

Hi,

Thanks for the answer.

I suggest you seek a neurologic consult for a baseline assessment.

I would highly suspect migraine headaches in your case.Other differentials will also be a cervicogenic headache ( headaches due to a spine disorder), tension headaches, a hemicrania continua (which is relatively rare),occipital neuralgia.

Previous history of trauma to the head or neck may suggest a cervicogenic headache or occipital neuralgia.Hemicrania continua is a chronic headache that may present as short bursts of severe stabbing headaches.

A cranial CT scan may help.A complete ear and eye assessment may also be indicated.The diagnosis of migraine may only be given when all other possible conditions have been ruled out.

[mishele75]

Sorry for the delay in responding.  I was away from a computer for a while.

I'm not quite sure how the symptoms started.  One day they just showed up and I haven't been able to connect why.

I don't think I would say they started abruptly.  I don't think I really noticed it until after I had them for a while.

There really isn't anything I use to relieve the pain since it's usually so quick.  I do, however, notice that rubbing my temple seems to help a bit.

They do occur several times a day when I get them.  Mostly they are on my left side, in the temple and sometimes in the back of my head near my neck, but I have gotten them in other areas as well.

Thank you very much for your help.

[Vanessa Lacuesta]

Hi,

A sinus and eye problem have been ruled out. I just have a few questions:

How did your symptoms start?

Did this start abruptly?

Where there any activities or events that could have  
triggered its onset?

Any predilection to a certain time of the year ( occurs in certain months )?

Also, you have noted that the pain lasts for a few seconds. Do they occur several times a day in clusters?

What relieves the pain?

Do keep us posted with your answers.

[sherbert12]

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