Dizziness and Pressure in the Back of the Head

Sometimes there is a feeling of dizziness at the back of the head?

Hello Doctor: Recently, I sometimes feel a dull and tight sensation at the back of my head, but I do not experience any headaches.
However, I occasionally feel that my eyes are particularly fatigued and that my intraocular pressure is a bit high.
I have a friend who has been diagnosed with a brain tumor, and although their symptoms are not the same as mine, I am still quite concerned.
Therefore, I went to the hospital for an EEG, but the doctor said my results were normal, and I do not have symptoms like vomiting or headaches.
Still, I am not at ease and would like to consult you.
(I apologize for my poor expression...
If possible, I would really like to undergo a more detailed examination, but the doctor said I do not meet the criteria, so I was not allowed to do so...
Thank you in advance, Doctor.)

ZA, 20~29 year old female. Ask Date: 2016/12/09

Dr. Jiang Junyi reply Neurology

Hello, based on your description, cervical myofascial pain syndrome should be considered first.
Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation.
Symptoms may worsen with changes in weather and can be alleviated after stretching activities, often recurring.
During acute episodes, there may be localized muscle tension and spasms, leading to restricted movement.
If you are very concerned, you might consider opting for advanced imaging studies at your own expense, as health insurance has a review mechanism.
It is recommended that you consult a neurologist to discuss examination and treatment options.
Wishing you good health and peace.
Dr.
Tao, Neurology Department, cares about you.

Reply Date: 2016/12/09

More Info

It's understandable to feel concerned about unusual sensations in your head, especially given your friend's experience with a brain tumor. The symptoms you're describing—dizziness, a feeling of pressure or tightness in the back of your head, and eye fatigue—can be distressing, particularly when you are aware of serious conditions like brain tumors.

Firstly, it's important to note that the sensations you're experiencing do not necessarily indicate a serious condition. Dizziness and feelings of pressure in the head can be attributed to a variety of benign causes. For instance, tension-type headaches, which are the most common form of headache, can cause a sensation of tightness or pressure around the head, particularly in the occipital region (the back of the head). These headaches can occur without significant pain and are often associated with stress, anxiety, or muscle tension in the neck and shoulders.

Eye fatigue, or asthenopia, can also contribute to feelings of discomfort and pressure in the head. This is especially common in individuals who spend long hours in front of screens or engage in activities that require intense visual focus. Symptoms of eye strain can include blurred vision, headaches, and a sensation of pressure behind the eyes. It’s advisable to take regular breaks when using screens, practice the 20-20-20 rule (every 20 minutes, look at something 20 feet away for 20 seconds), and ensure proper lighting and ergonomics while working.

Regarding your concern about a brain tumor, it’s reassuring that your EEG (electroencephalogram) results were normal. An EEG measures electrical activity in the brain and is typically used to diagnose conditions like epilepsy or other seizure disorders. However, it is not a definitive test for brain tumors. If your symptoms persist or worsen, further imaging studies such as a CT scan or MRI may be warranted to rule out any structural abnormalities in the brain.

If you are experiencing persistent dizziness, it may also be beneficial to consider other potential causes, such as vestibular disorders (issues related to the inner ear), blood pressure fluctuations, or even dehydration. Sometimes, anxiety can manifest physically, leading to sensations of dizziness and pressure in the head.
In terms of management, maintaining a healthy lifestyle can be beneficial. This includes staying hydrated, managing stress through relaxation techniques (like yoga or meditation), ensuring adequate sleep, and engaging in regular physical activity. If you find that your symptoms are affecting your daily life or causing significant anxiety, it may be helpful to consult with a neurologist or a healthcare provider who can offer a more comprehensive evaluation and discuss potential treatment options.

In summary, while your symptoms are understandably concerning, they may not necessarily indicate a serious condition. However, if you continue to feel uneasy or if your symptoms change, seeking further medical advice would be prudent. Your health and peace of mind are important, and it’s always better to err on the side of caution when it comes to neurological symptoms.

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