The throbbing pain of the nerve above the ear may be related to lack of sleep, or it may be caused by autonomic dysfunction, otitis media and other reasons. 1. Lack of sleep: if you stay up too late for a long time, or anxiety and nervousness and other factors lead to poor sleep quality, sleep time is not enough, the brain for a long time can not get enough rest, easy to cause brain dysfunction, resulting in cerebral vasodilatation, contraction function of the brain to produce obstacles, which may lead to throbbing pain in the nerves above the ears, but also may be accompanied by mental lethargy, weakness and other manifestations. 2. Autonomic dysfunction: the disease can lead to increased excitability of some areas of the patient’s cerebral cortex, resulting in neurological dysfunction, autonomic nervous system disorders, which may show throbbing pain in the nerves above the ears, and may also be accompanied by localized numbness of the skin, itching, dizziness, headache and other symptoms. 3. Otitis media: usually due to the Eustachian tube congestion, swelling, resulting in poor circulation of exudate, thus causing middle ear infection, under the stimulation of inflammation, it may cause throbbing pain in the nerves above the ears, may also be accompanied by hearing loss, earache and other symptoms. The throbbing pain in the nerve above the ear may also be caused by other reasons, it is recommended to seek medical advice as soon as possible, after a clear diagnosis of the causative factors, the doctor will guide the treatment.