Unraveling the Mystery of Unexplained Neurological Symptoms - Neurology

Unknown etiology?

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Around June 14, I suddenly experienced a jolt of dizziness, the kind that made it hard to stand, but it was not accompanied by headaches or nausea.
I thought it was just due to lack of sleep, as I had been under a lot of stress from final exams and had hardly eaten or slept.
However, the dizziness persisted until July 1, when it finally subsided.
Just as I thought I was recovering, a series of unfortunate events began.
On July 15, I felt a sharp pain near the back of my left eye, close to the eye socket.
Initially, the pain was around my left temple, causing tightness in the muscles around my head and ear, which then progressed to pain inside my eye.
I visited an ophthalmology clinic, where the doctor noted elevated intraocular pressure, but the pain continued without relief and even shifted locations—from the left rear of my left eye to the right rear.
After consulting three different ophthalmologists, the third doctor conducted a thorough examination, including checking my optic nerve, but could not identify the cause.
I mentioned that the pain was deep behind my eye and near my ear, and he suggested I see a neuro-ophthalmologist.
I then consulted a neurologist, who performed an autonomic nervous system test (using clamps on my limbs while lying still for ten minutes).
He noted that I had arrhythmia and measured my pulse, indicating some irregularity in my heartbeat.
Ultimately, he suspected a cervical spine issue and advised me to apply heat and take B vitamins, which might help improve my condition.
Following this, I visited a rehabilitation specialist who ordered X-rays and diagnosed me with cervical spine compression of the trigeminal nerve.
He prescribed neck stretching exercises and electrical therapy for rehabilitation.
I began my rehabilitation regimen, initially believing the pain would improve.
However, I continued to feel distinct pain points deep behind my eye and in my ear, which would shift—sometimes more intense in my eye, other times in my ear.
The pain felt like sharp needles, and the discomfort in my ear was more pronounced, with intermittent stabbing sensations in my right ear.
I also consulted an ENT specialist, who examined my ear and found no abnormalities.
At night, the pain often kept me awake, and I experienced warmth and pain on the left side of my face, along with dizziness and mild nausea.
I researched my symptoms online and went to Taichung Veterans General Hospital to see a neurosurgeon.
The doctor was concerned about a possible brain tumor and ordered a CT scan (on September 14), but the results showed no tumors.
He suggested I might be experiencing facial nerve spasms.
I researched this condition but did not exhibit symptoms like facial drooping, inability to close my eyes, or facial twitching.
On September 21, I found information online indicating that my dizziness could be due to vestibular disorders of the inner ear, which are often difficult to diagnose.
Concerned, I visited an ENT specialist in Zhongli (where I attend university), but the doctor found no inflammation in my middle ear and believed it might be a brain issue, recommending I see a neurologist.
I consulted a part-time doctor at my university (who is currently a physician at Taoyuan Veterans General Hospital) on September 22.
I found potential causes that seemed to fit, including tension-type headaches, temporomandibular joint disorders causing nerve compression, cervical myofascial pain, and autonomic nervous system dysregulation.
He noted that since I could eat normally and had no teeth grinding habits, it likely wasn't TMJ-related.
He suggested I see a neurologist for facial nerve conduction studies and cervical ultrasound.
He also mentioned that if the CT scan showed no issues, it could rule out organ-related problems.
On September 21, during class, I felt a heaviness near the base of my skull close to the cervical spine.
Previously, in July and August, I had experienced intermittent sharp pains near the brainstem, but they were not continuous.
Movements like tucking my chin or tilting my head to the right would trigger discomfort in that area (though I couldn't definitively pinpoint the pain).
However, pressing on my head, neck, and shoulders did not reveal any specific pain points.
Currently, I still feel very dizzy, struggling to maintain balance and often leaning to the right while walking, although my vision does not appear to be shaking or spinning.
The painful area remains above my left eye and near my ear, with tightness from my temple to the muscles above my ear, creating a sensation of being pulled upward.
Occasionally, I experience sharp pain in my right ear, but it is infrequent.
The sides of my head, particularly around the temples, feel tight, as if I am wearing a very tight hat.
Although I feel somewhat better than before, during the summer, my head felt extremely tight and pulled upward, and I noticed clicking sounds in my jaw while eating.
I am truly at a loss about what to do next.
Which specialty should I consult?

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Zhang Tongxue, 20~29 year old female. Ask Date: 2017/09/24