Temporal Trigger Zone

🧠 Overview

Temporal migraines are caused by compression of the auriculotemporal nerve, typically by the superficial temporal artery or surrounding fascia. This nerve runs alongside the temple area just above and in front of the ear.

💭 Headache Characteristics

📍 Pain Location

Pain originates at the temple area, approximately 2-3 cm above the ear. It may extend forward toward the eye or backward toward the ear.

⚡ Pain Character

Often described as a severe throbbing or pulsating pain that follows the heartbeat. Patients may feel the temporal artery pulsating under the skin during attacks.

🌊 Pain Migration Pattern

The pain typically starts at one temple and may spread across the side of the head. Some patients experience bilateral temporal pain, though it usually begins on one side.

✨ Pain Quality

Intense pulsating pain during acute episodes. The quality is often rhythmic, matching the pulse. Between attacks, there may be tenderness to touch in the temple area.

🔬 Diagnostic Nerve Block

Nerve block is performed by injecting anesthetic around the auriculotemporal nerve just above the ear. A positive response (pain relief within 10 minutes) indicates nerve compression at this site.

⚕️ Surgical Procedure

The procedure uses a small incision hidden within the hairline above the ear. The temporal artery is carefully separated from the nerve, and any compressing fascial bands are released. The surgery takes approximately 45-60 minutes.

📊 Expected Outcomes

💊 Pain Relief Results

85-90% success rate in reducing temporal headaches. Patients typically report 70-85% reduction in attack frequency and severity.

💊 Medication Reduction

80% of patients significantly reduce their use of acute pain medications. Many find they no longer need daily preventive medications.

🏥 Recovery & Postoperative Care

Very minimal recovery time. Most patients resume normal activities within 5-7 days. Temporary numbness around the incision site usually resolves within 2-3 months. Small incision heals with barely visible scarring.