Question: I have had a MRI done very recently and it states that the trigeminal nerve, 7th & 8th cranial nerve complexes and the abducens nerve and otherwise normal in the cisternal portions. Conclusion: there is no suggestion of a brain parenchymal abnorality. In particular no focus of gliosis or oedema. On the limited imaging through the posterior ofssa, the trigeminal nerve is normal in the cisternal portion and within Meckel's cave.. 7th & 8th cranial nerve complexes are also normal within their cisternal portions with no inflammation seen within the mastoid air cells. The abducens nerve is also grossly normal in its cisternal portion. Noted however is sinusitis involving the maximallary sinuses, worse in the left and mild in the right maxillary sinus? the source of the facial pain. No suggestion of a mass seen within the curtaneous tissue of the cheek or orbits to implicate infraorbital nerve pathology on the limited imaging of the facial cutaneous region. No intracranial pathology. On cervical spine there are minor disc bulges seen of the cervical spine at the c5/6 and the C7T1 level abutting the tecal sac mildly anteriorly. There however remains capacious central canal. No cord signal abnormality seen to suggest evidence of myelomalacia cord oedema. craniocervical junction is normal. Minor disc desiccation seen throughout all the cervical discs. No annular fissures/tears seen of the cervical discs. Their conclusion: Minor disc desiccation see through the cervical levels. Minor disc bulges seen at the lower cervical levels as described abutting the tecal sac anteriorly at the above described levels. There is however no resultant central canal, lateral recess or foraminal compromise. No cord signal abnormality to suggest myelomalacia or focus of demyelination. No impingement seen of the cervical nerve roots to suggest cervical radiculopathy. The vertebral arteries show normal flow voids. I am still getting some pain up the back of the brain stem, and up to the top of the head, I also get pain in the lower neck as well.. My neck feels tired at times. I have been to an ENT doctor who said my left sinuses must be drained as the XXXXXXX sinus is blocked, the right partially. I also get firing sensations and burning around the mouth and right eye, occasionally the whole face and back burns. The Neurologist said there is nothing wrong with me neurotically and it is muscular. At times i have a waving sensation to the front of my face also when I look down. A lot of the muscular symptoms seem to have settled down and this is the left over. I know the pain is diminishing but what do you think is the cause can be? My husband helped me up and my the back of my neck seemed to be pushed up and the back, I also had a Chinese massage which seemed to aggravate the problem and few weeks ago. can the sensations at the front be caused by the back or is it the sinuses

Is it possible I have pinched nerves in the neck? I have been using acupuncture which has given some relief. Can the sensations at all be from the brain stem? When I look down I get waives of sensation in the face and sometimes dizzy, and I seem to break out in a sweat, again could this be the sinus? CT shows enhanced mulislice CT imaging of the paranasal sinuses was done with formatting in the axial, coronal and sagital planes. There is complete opofication of the left maxillary antrum with complete obstruction to the left ostiomeatal unit. In the right maxillary antrum there is mild mucosal thckening seen and the ostiomeatal window is patent. The frontal, sphenoid and ethmoid sinuses are not significantly involved. The lack of pneumatisiation of the right frontal sinus is developmental and not pathological. The nasal septum is mildly deviated to the left. The nasal turbinates and postnasal space appear normal.

Hi I went to the Physio today and he stretched my head. I have had burning behind my eyes & nerve sensations around there as well as the rest of my face. I now have a bit of pain radiating behind my eyes, is this a problem? Do you think this is my back of my head as when I turn my head it clicks and sends some pain up to the top of my head. How can I get rid of the sensations, I have had acupuncture which has some success, but I tried physio again, and it seems to flare it up again. Any ideas? Will it settle down again, as it seemed to be getting a bit better. I also have sensations going down my shoulders & arms, and they burn also at times?

Hi many thanks for your detailed answer, it has been quite helpful. Will the sensations or tics as I call them go away? You said this could be sinus related is that correct? Why does it come and go? Could I do anything to stop this? It is very uncomfortable, could tregtratol (cabamazabeine) or lyrica help? What causes the tics or sensations to occur? One Neurologist said that the pain at the back of the head was muscular the other said it could be fibrmolgia (sorry not sure of the spelling). The ENT said the left XXXXXXX sinus should be drained. Again many thanks