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What Do Short Bursts Of Pain In The Temple Area Indicate?

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Posted on Fri, 16 Dec 2016
Question: I have short burst of pain in my left temple that recurs in consistently (2 minutes to an hour). Just started happening today (started on 9:00 CST). I checked my blood pressure and it is 119 over 60.
I am a 58 old women in reasonably good health.
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Answered by Dr. Olsi Taka (1 hour later)
Brief Answer:
Read below

Detailed Answer:
I read your question carefully and I understand your concern.

From what I understand there are no additional symptoms like eye lacrimation, redness, nasal congestion, jaw pain, visual changes etc.

In that case the first hypothesis for short lasting bursts of pain would be that of trigeminal neuralgia, pain in the territory of the trigeminal nerve which supplies the face. More commonly it is in the middle branch in the cheek, but it can be in the upper branch as well.

Other possibilities would include sinusitis or temporo-mandibular joint dysfunction, but usually there are other symptoms and pain is more persistent.

If it is trigeminal neuralgia medication with an anticonvulsant like Carbamazepine is the first choice.

However since symptoms have started only today I would wait a little before considering it and try with over the counter painkillers like Ibuprofen. That is because there are cases of primary (without a cause) headache like the so called primary stabbing (or ice pick) headache which may wane spontaneously, commonly influenced by stress and muscle tension. There is not any indication of any dangerous issue which needs urgent treatment if that worries you.

I remain at your disposal for other questions.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3673 Questions

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What Do Short Bursts Of Pain In The Temple Area Indicate?

Brief Answer: Read below Detailed Answer: I read your question carefully and I understand your concern. From what I understand there are no additional symptoms like eye lacrimation, redness, nasal congestion, jaw pain, visual changes etc. In that case the first hypothesis for short lasting bursts of pain would be that of trigeminal neuralgia, pain in the territory of the trigeminal nerve which supplies the face. More commonly it is in the middle branch in the cheek, but it can be in the upper branch as well. Other possibilities would include sinusitis or temporo-mandibular joint dysfunction, but usually there are other symptoms and pain is more persistent. If it is trigeminal neuralgia medication with an anticonvulsant like Carbamazepine is the first choice. However since symptoms have started only today I would wait a little before considering it and try with over the counter painkillers like Ibuprofen. That is because there are cases of primary (without a cause) headache like the so called primary stabbing (or ice pick) headache which may wane spontaneously, commonly influenced by stress and muscle tension. There is not any indication of any dangerous issue which needs urgent treatment if that worries you. I remain at your disposal for other questions.