Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
162 Doctors are Online

What is the cause of eye pain and headache with slight photosensitivity?

DOCTOR OF THE MONTH - Nov 2013
Nov 2013
User rating for this question
Very Good
Answered by

Neurologist
Practicing since : 1994
Answered : 5465 Questions
Question
Hello, I woke up 12 days ago with left sided face pain primarily over maxilla, and eye pain that has been a consistent dull ache. Additionally, yesterday i developed a persistent headache with slight photosensitivity. Never had any of these sxs before. Saw optho and ENT told most likely neuralgia as CT s contrast was negative (some thickening in L sinus). I have been on Valtrex, Prednisone, Levaquin and Augmentin with no relief. Pain remains 6/7. Labs are pending. Had a bad URI/sinusitis 2 weeks prior onset. Thanks, XXXXXXX NP
Posted Sat, 1 Mar 2014 in Brain and Spine
 
 
Answered by Dr. Sudhir Kumar 4 hours later
Brief Answer: Possibly neuralgia/atypical facial pain Detailed Answer: Hi, Thank you for posting your query. I have noted your symptoms and also the fact that CT with contrast was negative. Also, any eye or ENT problem has been excluded. In this scenario, the most likely cause of your symptoms could be a neuralgia- pain arising from a nerve. In this case, the most common nerve to be affected is trigeminal nerve, which arises in the brain stem and comes to supply sensations over face. The underlying causes could be ischemia (lack of blood supply), demyelination (damage to covering of nerve), infection, compression of the nerve by a blood vessel, etc. This can be confirmed by doing an MRI of brain, along with angiogram. As of now, you could take carbamazepine tablets or pregabalin capsules for pain relief. I hope my reply has helped you. I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, Hyderabad, For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/
Above answer was peer-reviewed by
 
Follow-up: What is the cause of eye pain and headache with slight photosensitivity? 8 hours later
Thank you for your reply. Actually, the CT was s(without) contrast and it was only of the sinuses. Should i proceed with head CT with contrast prior to MRI/angiogram?? And what exactly is the CT looking for or is just to r/o sinus? Can you also give me the Differential? Thank you so much! I am very pleased to find telemedicine working so well.. XXXXXXX
 
 
Answered by Dr. Sudhir Kumar 59 minutes later
Brief Answer: MRI would be preferred. Detailed Answer: Thank you for getting back. In your case, MRI of brain with angiogram would be preferred as compared to CT brain with contrast. We are looking for a problem in the region of trigeminal nerve, which arises from the pons (brainstem region). Typically, we want to exclude ischemia (lack of blood supply), demyelination (damage to the nerve covering) or infection in that area. I hope it helps. Best wishes, Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by
 
Follow-up: What is the cause of eye pain and headache with slight photosensitivity? 38 minutes later
Thank you very much...Best, XXXXXXX
 
 
Answered by Dr. Sudhir Kumar 4 minutes later
Brief Answer: Thank you. Detailed Answer: Thank you and best wishes, Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Drug/Medication
Medical Topics

The user accepted the expert's answer

Ask a Neurologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor