Headaches and Dizziness: Neurology Insights - Neurology

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Headache and dizziness?


For the past two weeks, I've experienced occasional sharp pain in my head, and since the day before yesterday, I've been feeling very dizzy whenever pressure is applied to the left side of my head.

Ting A, 20~29 year old female. Ask Date: 2016/04/07

Dr. Jiang Junyi reply Neurology


Based on your description, the most common cause is tension-type headache.
The symptoms of tension-type headache include: 1.
Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain.
The nature of the pain is dull, aching, with a sensation of pressure and tightness, without pulsation.
There may be tightness and stiffness in the occipital-cervical region, which is more pronounced when turning the neck, with pain intensity ranging from mild to moderate.
2.
There are tender points in the muscles at the pain site, and sometimes pulling on the scalp can also cause pain.
The muscles may feel stiff, and one or more nodules, referred to as myofascial trigger points, may be palpable.
3.
Fatigue, tension, excitement, anxiety, insomnia, or depression can exacerbate the headache.
Pain may be triggered by flexion and extension of the head.
It is recommended to consult a neurologist for examination and follow-up.
Wishing you peace and joy.

Reply Date: 2016/04/07

More Info


Headaches and dizziness can be complex symptoms that often require careful evaluation to determine their underlying causes. Based on your description of experiencing intermittent sharp pain in the left side of your head, followed by dizziness when pressure is applied to that area, it is important to consider several potential factors.

Firstly, the nature of your headache is crucial. If the pain is sharp and localized, it may suggest a tension-type headache or even a migraine, particularly if it is accompanied by dizziness. Tension-type headaches are often caused by muscle tension in the neck and scalp, which can lead to a sensation of tightness and discomfort. Migraines, on the other hand, can present with unilateral pain and may be associated with other symptoms such as nausea, sensitivity to light, and visual disturbances.

Dizziness can arise from various sources, including vestibular issues, neurological conditions, or even musculoskeletal problems. When you mention that applying pressure to the left side of your head induces dizziness, it raises the possibility of a few conditions. One potential cause could be cervicogenic dizziness, which occurs when neck issues lead to dizziness. This could be due to muscle tension or misalignment in the cervical spine affecting the nerves and blood flow to the head.

Another consideration is the possibility of a neuralgia, such as occipital neuralgia, which can cause sharp, shooting pain in the back of the head and may radiate to the sides. This condition is often associated with irritation or injury to the occipital nerves, which can lead to both pain and dizziness.

Additionally, if there is a history of trauma or injury to the head or neck, it is essential to consider the potential for post-concussion syndrome, where individuals may experience headaches and dizziness following a head injury. Given that you mentioned experiencing sharp pain and dizziness, it may be worthwhile to evaluate for any previous head trauma that could be contributing to your current symptoms.

It is also important to rule out more serious conditions such as intracranial hypertension or other neurological disorders. Symptoms such as persistent headaches, especially if they are worsening or changing in character, should prompt further investigation. Imaging studies like MRI or CT scans can help identify any structural abnormalities or lesions that may be contributing to your symptoms.

In summary, your symptoms of sharp pain on the left side of your head and associated dizziness warrant a thorough evaluation by a healthcare professional, preferably a neurologist. They can perform a detailed history and physical examination, and if necessary, order imaging studies to rule out any serious underlying conditions. Treatment will depend on the specific diagnosis but may include medications for pain relief, physical therapy, or other interventions aimed at addressing the root cause of your symptoms. It is essential to seek medical attention to ensure proper diagnosis and management of your condition.

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