Foreign Sensation and Headaches: When to Seek Neurology Help

Foreign body sensation in the head and headache?

I have had a foreign body sensation in the left front of my head since childhood, but since it wasn't bothersome and I didn't experience pain, I didn't pay much attention to it.
However, recently I've been experiencing frequent headaches, and when I have a headache, the area where I feel the foreign body sensation contracts, which is very uncomfortable.
Additionally, a previous CT scan of my brain showed no abnormalities.
What could be the possible cause, and which specialty should I consult?

Mr. Zhang, 20~29 year old female. Ask Date: 2019/08/14

Dr. Cai Zongzhang reply Neurology

Hello, can you clearly identify the area where you feel the foreign body sensation or contraction? If so, it is recommended that you visit a neurosurgery department at a hospital for a precise diagnosis and examination by a physician based on the area you indicate.
In the meantime, it is advisable to maintain a regular routine and sleep schedule.
Thank you.

Reply Date: 2019/08/14

More Info

When it comes to understanding the sensations you are experiencing in your head, particularly the foreign sensation and the recent onset of headaches, it is essential to consider several factors that could contribute to your symptoms. Based on your description, it seems that you have had a longstanding feeling of something unusual in the left frontal area of your head, which has now been accompanied by headaches that intensify this sensation.
Firstly, it is important to note that the sensation of a foreign object or pressure in the head can be attributed to various causes, including tension-type headaches, migraines, or even psychological factors such as anxiety. Tension-type headaches are often characterized by a feeling of tightness or pressure around the forehead or back of the head and neck, which could explain the discomfort you are feeling. Migraines, on the other hand, can present with a variety of symptoms, including throbbing pain, sensitivity to light and sound, and sometimes aura symptoms, which can include unusual sensations.

The fact that you have undergone a CT scan of your brain and it showed no abnormalities is reassuring, but it does not entirely rule out the possibility of other neurological conditions. For instance, conditions such as cervicogenic headaches, which originate from issues in the neck, could also manifest as referred pain or sensations in the head. Additionally, sinus issues or even dental problems can sometimes cause referred pain to the head, particularly in the frontal region.

Given that your symptoms have changed recently, with the addition of headaches, it is advisable to seek further evaluation from a neurologist. A neurologist specializes in disorders of the nervous system, including headaches and other related symptoms. They can conduct a thorough examination, which may include a detailed history of your symptoms, a neurological examination, and possibly additional imaging studies or tests to rule out other conditions.

In the meantime, it may be helpful to keep a headache diary, noting the frequency, duration, and intensity of your headaches, as well as any associated symptoms and potential triggers. This information can be invaluable for your healthcare provider in determining the underlying cause of your symptoms and formulating an appropriate treatment plan.

In summary, while your previous CT scan did not reveal any abnormalities, the recent onset of headaches and the persistent foreign sensation warrant further investigation. Consulting with a neurologist would be a prudent next step, as they can provide a comprehensive assessment and guide you toward effective management strategies. Additionally, consider lifestyle factors such as stress management, hydration, and regular exercise, which can play a significant role in headache prevention and overall well-being.

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