Seizures in the brain
Hello Dr.
Jiang: I am sixteen years old and male.
Since I was around eleven or twelve, I have experienced a sensation of twitching or sharp pain in the back left or right side of my head, as if my brain is being tightly squeezed.
The frequency is variable; sometimes it occurs twice a week, while other times there may be no episodes for two months.
Each episode lasts for less than five seconds, and aside from the sharp pain, there are no other symptoms, and nothing else happens afterward.
The cause is unclear, but it sometimes occurs during intense emotional states, such as when I am very angry or overly excited.
However, it can also happen randomly, such as when I am using the restroom or walking.
I would like to ask Dr.
Jiang what these symptoms might indicate and if there could be any adverse effects.
Thank you! Related inquiry: https://adoctor.tw/article/1569 Note: I have not been in any accidents, and the pain is not severe.
Wang Zheming, 10~19 year old female. Ask Date: 2019/02/16
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 and cervical regions, which is noticeable when turning the neck, with intensity ranging from mild to moderate.
(2) There are tender points in the muscles at the site of pain, and sometimes pulling 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) The pain does not interfere with daily activities; for example, walking or climbing stairs does not exacerbate the headache.
(4) Fatigue, tension, excitement, anxiety, insomnia, or depression can worsen the headache.
Bending the head forward and backward may trigger pain.
For nerve repair, it is recommended to supplement with B vitamins and pay attention to neck posture.
It is advisable to consult a neurologist for discussion regarding examination and treatment.
Wishing you good health and peace.
Dr.
Jiang from the Neurology Department cares about you.
Reply Date: 2019/02/16
More Info
Understanding occasional brain twitches, especially in teenagers, can be a complex issue that often requires careful consideration of various factors. Based on your description, it seems that you are experiencing brief episodes of discomfort or pain in your head, which you describe as a sensation of twitching or tightness. These episodes occur sporadically and seem to be influenced by emotional states such as excitement or anger.
Possible Causes
1. Muscle Spasms: One potential cause of the sensations you are experiencing could be muscle spasms in the scalp or neck area. Stress and emotional fluctuations can lead to muscle tension, which might manifest as twitching or discomfort.
2. Nerve Irritation: Another possibility is that there may be some irritation of the nerves in the head or neck region. This could be due to various factors, including posture, stress, or even minor, unnoticed injuries.
3. Migraine or Tension Headaches: Sometimes, what feels like a twitch could be an early sign of a migraine or tension headache. These types of headaches can cause various sensations, including pain, pressure, or tightness in the head.
4. Psychosomatic Responses: Emotional states can significantly impact physical sensations. Anxiety, stress, and excitement can lead to heightened awareness of bodily sensations, which might explain why you notice these episodes more during intense emotional experiences.
5. Epileptic Seizures: Although less likely given your description, it’s important to consider that certain types of seizures can present as brief episodes of twitching or discomfort. However, these typically come with other symptoms, such as loss of consciousness or confusion, which you have not mentioned.
Concerns and Recommendations
While the episodes you describe are brief and do not seem to be accompanied by other concerning symptoms, it is essential to monitor them. Here are some recommendations:
1. Keep a Journal: Document when these episodes occur, their duration, and any accompanying emotions or activities. This information can be helpful for a healthcare provider to identify patterns or triggers.
2. Consult a Healthcare Professional: Given that you are experiencing these sensations regularly, it would be wise to consult a neurologist or a healthcare professional specializing in adolescent health. They can conduct a thorough evaluation, including a neurological examination and possibly imaging studies, to rule out any underlying conditions.
3. Stress Management: Since you mentioned that these episodes can be triggered by emotional states, consider incorporating stress management techniques into your routine. Practices such as mindfulness, deep breathing exercises, or physical activity can help reduce overall stress levels.
4. Avoid Triggers: If you notice specific situations or activities that seem to trigger these episodes, try to avoid them or approach them with caution.
5. Stay Informed: Educate yourself about the symptoms and potential causes of neurological issues. Understanding your body can help you feel more in control and less anxious about these episodes.
Conclusion
In summary, while occasional brain twitches can be concerning, they are often benign and related to stress or muscle tension. However, it is crucial to seek professional advice to ensure that there are no underlying neurological issues. By keeping track of your symptoms and consulting with a healthcare provider, you can gain a better understanding of your condition and explore appropriate management strategies. Remember, early intervention can lead to better outcomes, so don’t hesitate to reach out for help.
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