Pulsating Sensations Between the Left Temple and Ear - Neurology

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I feel a nerve twitching between my left temple and left ear?


Hello Doctor, I have recently been experiencing a sensation of nerve pulsation between my left temple and the area above my left ear (it is not painful, occurs in intermittent bursts, and each episode does not last long, but it is hard to ignore).
This has been happening more frequently lately.
In the past, I have often experienced migraines and headaches (such as a feeling of pressure on the top of my head), so I am concerned that this condition might be a sign of a head-related issue.

Min, 20~29 year old female. Ask Date: 2021/09/13

Dr. Jiang Junyi reply Neurology


Dear Ms.
Min,
You mentioned feeling a pulsing sensation between your left temple and left ear, which is not painful and occurs intermittently, with each episode not lasting too long.
This may suggest localized muscle spasms.
Nerve compression typically presents with symptoms such as numbness or tingling.
If you experience muscle spasms around the eyes, it may indicate facial nerve spasms.
If the symptoms are bothersome, your physician may prescribe muscle relaxants for treatment.
It is also advisable to reduce the intake of caffeine, which can stimulate the nervous system.
Thank you for your inquiry, and feel free to discuss any related questions!
Wishing you good health and peace,
Dr.
Jiang Junyi, Taoyuan Medical Center

Reply Date: 2021/09/13

More Info


Hello,
Thank you for your question regarding the pulsating sensations you are experiencing between your left temple and ear. It's understandable to be concerned about these symptoms, especially given your history of migraines and headaches. Let's break down the potential causes and considerations for your situation.

The sensation you describe as a "pulsating" feeling can be attributed to several factors. One possibility is that it could be related to vascular changes in the area, such as increased blood flow or changes in blood pressure, which can sometimes manifest as pulsations. This is particularly relevant if you have a history of migraines, as they are often associated with vascular changes in the brain and surrounding areas.

Another consideration is the possibility of muscle tension or spasms in the muscles around the temple and jaw. The temporalis muscle, which is located on the side of your head, can become tense due to stress, teeth grinding, or jaw clenching, leading to sensations that may feel like pulsations. This could also explain why you are experiencing these sensations more frequently if you have been under increased stress or have changed your habits recently.

Additionally, the sensation could be related to the trigeminal nerve, which is responsible for sensation in the face and motor functions such as biting and chewing. Irritation or compression of this nerve can lead to unusual sensations in the facial region, including the temple and ear area. This is something that may require further evaluation by a healthcare professional.

Given your history of migraines and the new onset of these pulsating sensations, it would be prudent to consult with a healthcare provider, preferably a neurologist or an ear, nose, and throat (ENT) specialist. They can perform a thorough examination, which may include imaging studies like an MRI or CT scan, to rule out any structural issues or other underlying conditions that could be contributing to your symptoms.

In the meantime, consider keeping a headache diary to track the frequency, duration, and intensity of your headaches and any associated symptoms. This information can be very helpful for your healthcare provider in determining the best course of action.

It's also important to manage any potential triggers for your headaches, such as stress, dehydration, or lack of sleep. Regular exercise, a balanced diet, and adequate hydration can also contribute to overall well-being and may help reduce the frequency of headaches.

In summary, while the pulsating sensations you are experiencing could be related to several benign factors, given your history of migraines and the increasing frequency of these sensations, it is advisable to seek medical attention for a comprehensive evaluation. Your health and peace of mind are paramount, and a healthcare professional can provide the necessary guidance and treatment options.

Take care, and I hope you find relief soon.

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