Occipital protrusion
Hello doctor, I recently noticed a raised area in the middle of the back of my head, slightly to the left, measuring about 4-5 centimeters.
It feels hard like bone, but I don't recall having this before.
It doesn't hurt or itch, but I've been experiencing some dizziness and a tingling sensation in my head lately.
However, I'm currently on my menstrual period, so I'm unsure if that's the cause.
Should I seek medical attention for this? If so, which specialty should I consult? Thank you.
Niming, 10~19 year old female. Ask Date: 2021/09/16
Dr. Shi Guozheng reply Orthopedics
The back of the human skull, specifically the occipital bone, typically has a protruding area that is considered a normal bony structure.
If you are still concerned, it is advisable to consult a physician and have an X-ray taken to check for any abnormalities.
Reply Date: 2021/09/16
More Info
When it comes to understanding the significance of an occipital bump, especially one that is hard and has appeared suddenly, it is essential to approach the situation with caution. The occipital region is located at the back of the skull, and any new growth or bump in this area warrants careful evaluation, particularly if it is accompanied by other symptoms such as dizziness or a sensation of numbness in the head.
First and foremost, it is important to note that not all bumps or lumps are indicative of a serious condition. Many benign causes can lead to the formation of bumps on the skull, such as lipomas (fatty tumors), cysts, or even normal anatomical variations. However, the sudden appearance of a hard bump, especially one that is significantly larger than the surrounding tissue, should not be ignored.
Given your description of the bump being approximately 4-5 cm in size and hard to the touch, it is advisable to seek medical evaluation. While the bump itself may not be painful or itchy, the accompanying symptoms of head numbness and dizziness could suggest that there is an underlying issue that needs to be addressed. These symptoms could be related to various conditions, including tension headaches, migraines, or even more serious concerns such as increased intracranial pressure or neurological issues.
In terms of which medical specialty to consult, starting with a primary care physician or a neurologist would be a prudent choice. A primary care physician can perform an initial assessment, including a physical examination and a review of your medical history. They may then refer you to a neurologist if they suspect that your symptoms are related to a neurological condition. A neurologist specializes in disorders of the nervous system and can provide a more in-depth evaluation, including imaging studies such as an MRI or CT scan if necessary.
During your visit, be prepared to discuss the following:
1. The timeline of when you first noticed the bump.
2. Any changes in size or characteristics of the bump since you first noticed it.
3. The nature of your head numbness and dizziness—when they started, how often they occur, and any potential triggers.
4. Any other symptoms you may have experienced, such as headaches, vision changes, or balance issues.
It is also worth noting that hormonal changes during your menstrual cycle can contribute to headaches and dizziness, but these symptoms should still be evaluated in conjunction with the new bump. The healthcare provider will consider all these factors when determining the next steps for diagnosis and treatment.
In summary, while the bump may not be causing immediate discomfort, the combination of its sudden appearance and your accompanying symptoms suggests that it is wise to seek medical advice. A thorough evaluation by a healthcare professional will help determine the nature of the bump and whether any further investigation or treatment is necessary. Your health and peace of mind are paramount, so do not hesitate to reach out for professional guidance.
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