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Why a headache, ear
There is Hardly a people who have not experienced a headache. This problem is most prevalent among patients. Every year each person is suffering from cephalgia, which is often simply eliminated with medication, and its cause remains unknown. This medication brings no long-term effect, as evidenced by new attacks.
It is Worth noting that every tenth person on the planet who have chronic pain of this localization, suffers from a serious pathology in the form of brain lesions. The cephalalgia complain even 70% of children of all ages, but parents often do not turn on this attention. Be careful, because about 3-5% of the population have a disability due to the fact that they have a headache.
Main types of head pain localized in the ear
| headache | Causes and precipitating factors | Features of pain syndrome | Intensity | Prevalence |
| Migraine | 1. Heredity. 2. Stress. 3. The lack of sleep. 4. Physical stress. 5. Intense visual and auditory stimuli. 6. The changing weather conditions. | much headache, paroxysmal. Usually the pain occurs in the ear with one hand right or left. The pain is throbbing, high intensity. The duration of migraine attack varies from 4 to 72 hours. In addition to the ear, pain may be localized in one half of the skull (parietal, frontal lobe, rarely the back of the head), right or left of it. In addition to pain, there are additional symptoms - nausea, vomiting (often), light - and phonophobia, increased during exercise. | High | 10-20% |
| tension Headache | 1. Stress. 2. Fatigue. 3. The lack of sleep. 4. Impaired vision. 5. Hereditary background | Headache constantly, usually from two sides, right and left, and also in the form of "helmets". Cephalalgia may radiate to the neck. Its feature is the monotony and compressive in nature in the ear. She can capture the ear both separately and in conjunction with other areas of the head. Last from 30 minutes to 7 days. | Medium | 70 % |
| Mastoiditis | Pathogens. | headache in the ear, followed in the projection of the mastoid process. Sometimes cephalalgia extends to the half of the head (either side, depending on the localization of inflammation). By the increase of its intensity at night. Usually the temperature rises, in history there are indications of otitis media. | Medium | - |
| Furuncles of the auditory canal with involvement of lymph nodes | Infectious agents (Staphylococcus). | there is itching in the ear, which turns into a constant nagging pain. It is the accumulation of pus increases. Half of the head aches from the affected ear. At the opening of the furuncle pain significantly decreases. | Medium | - |
| temporomandibular joint | Stress | Pain dull character localized in the ear and temple, and gives up on the surface of the cheeks, aggravated by movements of the lower jaw. My head hurts every day | Moderate | 10-20% |
| External and otitis media | Infectious process. | Patients have complained about pain in my ear and gives in the temple area and forehead. My head hurts from the injury, often the temperature rises. Pain aching, shooting character. The most commonly affected the ear on the right. | High | 10-15% |
Differential diagnosis
Differential diagnosis of pain syndromes in the area of half of the head and ear are shown in the table below.
| headache | Features symptoms | Primary/ Secondary |
| Migraine | Characterized by the appearance of episodes with the corresponding symptoms that occur 1-2 times per month or more often. The patient first becomes irritated, and during the attack is uncomfortable with intense light and noise. Feelings are so amplified that the patient may experience pain from bed sheets, which he covered. After the attack of pain patients usually fall asleep. | Primary |
| tension Headache | When you touch the muscles that are located close to the head, the patient feels the pain. A headache more often after physical exertion, overexertion, stress, lack of sleep. | Primary |
| Patients also complain of fever and discharge of pus from the ear. When you touch or percussion of the mastoid process, the intensity of the pain increases. The patient hears worse and notes that constantly makes noise in the ear. | Secondary | |
| Furuncles of the auditory canal with involvement of lymph nodes | raises the body temperature, in some patients, a fever. They also note hearing loss, loss of appetite and weakness. Sometimes it may be accompanied by dizziness. Palpation of the ear patients report increased pain. | Secondary |
| temporomandibular joint | while touching masticatory muscle pain on one or two sides (right or left side of the jaw), and the movement of the lower jaw accompanied by the crunch. Also many patients complain of tinnitus and dizziness | Secondary |
| External and otitis media | the Disease is accompanied by fever, leukocytosis and increased ESR in clinical analysis of blood. Most often head aches in my temples at night or earlier in the morning. Observed dizziness and blackouts. The patient hears nothing struck his ear. | Secondary |
additional Methods of examination
At the time of diagnosis headache diagnosis you will conduct these studies:
- Clinical analysis of blood. Will provide an opportunity to establish the presence of inflammation the number of leukocytes and erythrocyte sedimentation rate.
- EEG. The change of EEG during headache may indicate a migraine.
- MRI. Provides the ability to detect the presence of brain tumor as possible causes of cephalgia.
- Ahoah. Determines the position of brain structures and their displacement.
- Doppler. Visualizes the blood flow in the vessels and their changes is "gold standard" in the diagnosis of temporal arteritis.
- x-rays. Will allow you to see the changes of the skeletal system, in particular in the pathology of the temporomandibular joint.
- Audiometry, otoscopy. To exclude pathology of the organ of hearing.
Treatment
Treatment and prevention of migraine pain and muscle tension are presented in tables below.
For the treatment of temporal arteritis prescribe specific anti-inflammatory therapy. It includes hormones such as prednisone, administered in a dose of 60-80 mg. Its action is aimed at reducing pain and eliminating inflammation.
In the pathology of the temporomandibular joint doctor makes the blockade with the help of novocaine, it eliminates the pain. Additionally appointed NPVS ("Meloxicam, Diclofenac, Nimesulide, Celecoxib"), muscle relaxants ("Mydocalm", "Sirdalud") and use special tires.
With the otitis, mastoiditis, furuncles of the auditory canal cephalalgia cure is possible, only eliminating the symptoms of the underlying disease, i.e. Pathology of the ear. You have to take antibiotics, painkillers and anti-inflammatory drugs.
If you have any pain in half head and ear, it is recommended to see a physician who can diagnose a disease, to relieve pain and to prevent chronic. Because the disease in the early stages it is best amenable to treatment and correction.
Sources:
- grygorova I. A., Sokolova L. I. (ed.), Neuroscience— 2014 — 640 pages
- Neurology and neurosurgery A. N. Konovalova — 2. — 2009. — 420 p.
- Yakhno N. N., Stulman D. R. Diseases of the nervous system — Vol. 2 — 2nd ed. — Medicine, 2001 — p. 744.