My wife has peculiar headache near left ear. What is it?

Hi doctor,

My wife is 35 years old. She is 5 feet and weighs 110.23 lb. She is having a peculiar pain for the past six to eight months. The pain is located just above the left ear and 0.79 inch beside the left eye. Earlier, the pain use to occur once in one to two months. Usual timing for this pain is bedtime during nights around 10 to 11 PM. The pain will last for just 5 to 10 minutes. She kept ignoring it by assuming as a normal headache. Slowly the frequency of this pain increased to once in every 15 to 20 days. This went on to reach once in every two to three days during last month. We were to go on an urgent trip to hometown; therefore we thought to postpone the checkup till the return from the trip. During the hometown trip, we discussed with a known neuro doctor, who got her head computed tomography (CT) done. CT report is absolutely normal and he suggested that my wife should not take much tension. For past one week, the frequency of the pain increased to two to three times in a day. At times she had some kind of pain with her left ear in the past. But that is not affecting her now. Currently, the timing of the pain is not fixed and the same happens at any point of time. Usually it lasts for approximately 15-20 minutes. Since the CT scan report of the head is absolutely normal, we are not able to figure out the real reason for this pain. What could be the possible reason for this pain? Can I get the detailed response? She is also having very minor increase in thyroid level. However, as per experts the current level does not require any medication. I am attaching the CT report as well as the recent thyroid report. Apart from this, she does not have any other significant symptom. I am looking forward to your response.

Hi doctor,

Thanks for the reply. My answers for your questions are as follows. There is no history of headache in wife’s family. Blood pressure and diabetes issues are there with her father. Her headache is pulsatile in nature. No, she do not have any aura prior to the start of head ache (HA). She does not experience any numbness. Her headache starts with pain of grade 1 and in peak the severity is between 8 and 9 and then after 15 to 20 minutes again it ends with the grade 1. Approximately, it takes 5 to 10 minutes to reach the peak and recedes back to normal in some two minutes. There is no aggravating and relieving factor as such. Yes, she is sensitive to noise and sound. She did not have nausea or vomiting. There is no redness or watering of eyes. She did not have any motion sickness or brain freeze. She is not on any regular medicine. Only at times she will take painkiller during the headache. Kindly provide a detailed response, so that I can be assured of the correct treatment.