Scalp Tingling and Dizziness: Possible Causes and Concerns - Neurology

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Scalp tingling and dizziness?


Hello, doctor.
Over the past year, I have occasionally experienced dizziness and tingling in my scalp.
Sometimes it occurs on one side, sometimes on both sides, and at times it even extends to my face, but there is no drooping or anything like that—just a pure tingling sensation.
I later went to a medical center for a CT scan and found a 4 cm cyst on the right side.
After evaluation by a neurosurgeon, I was advised that follow-up would be sufficient.
Could there be any other reasons that might cause these symptoms? I also have slightly elevated blood lipids and often look down at my phone.

Jia, 20~29 year old female. Ask Date: 2021/04/20

Dr. Hong Weibin reply Neurology


Hello: The most common cause of dizziness is dysfunction of the vestibular inner ear.
Common triggers include viral infections, dehydration, stress, lack of sleep, and emotional factors.
The scalp may experience intermittent numbness or tingling due to various factors such as skin allergies, dryness, head lice, hair loss, anxiety or stress, migraine attacks, and shingles; only a small portion is due to neurological issues (such as diabetic neuropathy or fibromyalgia).
If a head CT scan reveals a cyst that does not compress any critical structures, it is usually sufficient to monitor it without special treatment.
Hong Wei-bin

Reply Date: 2021/04/20

More Info


Scalp tingling and dizziness can be concerning symptoms, and it's important to consider a variety of potential causes. Based on your description, there are several factors that could contribute to your symptoms, including the presence of a cyst, lifestyle factors, and underlying health conditions.

1. Cyst Presence: The 4 cm cyst identified on your CT scan is a significant finding. While many cysts are benign and may not require immediate intervention, they can sometimes cause symptoms depending on their location and size. If the cyst is pressing on nearby structures, it could potentially lead to sensations of tingling or numbness in the scalp or face. It's good that a neurosurgeon has evaluated the cyst and recommended follow-up; however, it's essential to monitor any changes in your symptoms, such as increased frequency or severity of tingling, dizziness, or any new neurological symptoms.

2. Nerve Compression: Tingling sensations can often be attributed to nerve compression. This could occur due to poor posture, especially if you frequently look down at your phone. Prolonged positions can lead to muscle tension and nerve irritation, particularly in the neck and upper back, which can manifest as tingling in the scalp or face. Consider evaluating your posture and taking regular breaks from screen time to alleviate potential strain.

3. Circulatory Issues: Dizziness can also be related to circulatory problems. High cholesterol levels can contribute to vascular issues, potentially affecting blood flow to the brain. If blood flow is compromised, it could lead to dizziness and other neurological symptoms. It’s crucial to manage your cholesterol levels through diet, exercise, and medication if necessary, as advised by your healthcare provider.

4. Anxiety and Stress: Psychological factors such as anxiety can also manifest physically, leading to symptoms like dizziness and tingling. If you are experiencing stress or anxiety, it might be worthwhile to explore relaxation techniques, mindfulness, or even speaking with a mental health professional.

5. Other Neurological Conditions: While less common, other neurological conditions could also present with similar symptoms. Conditions such as multiple sclerosis or migraines can cause tingling sensations and dizziness. If your symptoms persist or worsen, further evaluation by a neurologist may be warranted to rule out these possibilities.

6. Vitamin Deficiencies: Deficiencies in certain vitamins, particularly B vitamins, can lead to neurological symptoms, including tingling and dizziness. Ensuring a balanced diet rich in essential nutrients or considering supplementation under the guidance of a healthcare provider may be beneficial.

In conclusion, while the cyst is a notable finding, it is essential to consider a holistic view of your health, including lifestyle factors, psychological well-being, and overall physical health. Regular follow-ups with your healthcare provider are crucial to monitor your symptoms and make any necessary adjustments to your treatment plan. If you experience any new or worsening symptoms, don’t hesitate to seek medical attention promptly.

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