Hello. As you probably know, the sphenoid sinus is an air-filled (normally) cavity within the sphenoid bone behind the nasopharynx.
It is the central-most and deepest of the sinuses.
It sits quite close to the pituitary gland and the tips of the temporal lobes of the brain.
Sinus disease here typically produces the same sorts of symptoms as sinusitis elsewhere...congestion, head pressure, foul-smelling discharge.
Headache caused by sphenoid sinusitis may feel deeper, and more central, sometimes radiating into the top of the head,
Complications can be more serious due to its proximity to the brain.
Thank you very much - That is the type of headache pain I have had. I feel it occasionally on the top of my head, and side of my head along with the occasional pain around my temple. I just have some nasal drainage out of my right nostril, but it's not all the time. This morning, I woke up
with my right eye somewhat closed up due to a slight discharge
everything I have has been on the right side. I wake up in the morning with some minor fluid in my right ear. However, I have not had any discharge.
Have you had a CT of your sinuses?
No not yet - I am feeling much better than I was, but I still have occasional pain/discomfort. It's not constant though. About a month ago I couldn't even go outside because the light bothered me. I was also having some neck pain. I have definitely improved, but feel like I still have a few symptoms. I also fly alot and noticed the pain in my temple was worse when I flew.
Sphenoid sinus pain can radiate into the temples as well as the neck. If the symptoms prove recurrent or resistant to treatment (i.e. antihistamines, decongestants, antibiotics) you should request a sinus CT to get a good look at all the sinuses.
I am able to go to work, etc. This sinus infection/discomfort was different from other sinus infection's I've had.
Thanks. Are they uncommon sinus infections?
It usually does feel different to patients...and there is typically no facial pain as there often is with frontal, ethmoid or maxillary sinus infections.
They are not commonly diagnosed...but that may be because we are missing the diagnosis. :-)
Thanks - Can a frontal, ethmoid or maxilary cause top of head pain?
Usually not, at least not in isolation from pain around or below the eyes.
It felt different in the sense that it was deeper pain and I didn't really have any nasal discharge.
Or it was draining down the back of your throat instead of coming out the nose...?
yes initially it was more post nasal drip
Since it comes and goes, you think I can monitor it and see if it improves? As mentioned, I have definitely improved, but this started about six weeks ago. I have reduced my flying for the next couple of weeks as I felt that might of delayed me getting better.
If it is coming from a congested or infected sphenoid sinus, it might respond to a combination antihistamine and decongestant (e.g. actifed).
Okay thanks. The discomfort on the top of my head had me concerned. Can that be from the ear as well?
ear pain is usually localized to the affected side.
yes all of my discomfort has been on the right side.
I thinking it was a sephenoid sinus infection becuase I had neck back head pain, sometimes talking on the phone the voice sounded piercing
but ear problems typically stay on the side of the head, or the jaw, but not the top of the head
so it sounds sinus related?
vision issues can localize to one side or to the top of the head.
so can migraines.
okay thanks. So for now you recommend I monitor and you don't feel like it's urgent?
Nothing you have said would indicate urgency...though obviously I don't have the advantage of being able to examine you.
If it was something neurological, I would have different symptoms, correct?
While there are clearly nerves involved (i.e. pain) this does not sound like a primary neurological condition (e.g tumor, bleed, neuralgia), especially if the symptoms come and go.