Temporal Veins: Symptoms and Possible Conditions - Neurosurgery

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The veins from the temples to the forehead?


I would like to inquire about a noticeable crack in the temple area that is quite prominent, but there has been no external trauma.
There is also a visible vein extending to the forehead, which becomes swollen when I lower my head, appearing much larger than the typical thin vein seen in others.
Additionally, when I lower my head, my entire head feels very congested.
I would like to know what type of condition this might be.
Thank you.

M, 30~39 year old female. Ask Date: 2021/09/27

Dr. Zhang Junwei reply Neurosurgery


It should be the venous vessels and their grooves.
If there are any issues, you can visit the neurosurgery outpatient clinic for an examination.

Reply Date: 2021/09/27

More Info


When it comes to understanding symptoms related to the temporal veins and the sensations you are experiencing, it’s essential to consider various factors that could contribute to your condition. The symptoms you describe—such as noticeable veins, swelling, and a feeling of pressure in the head—can be indicative of several underlying issues.

Firstly, the presence of prominent veins, particularly in the temporal region, can be a normal anatomical variation, especially in individuals with lower body fat or increased vascularity. However, if these veins are accompanied by swelling and a feeling of pressure or fullness, it may suggest a more significant issue.

One possible condition that could explain your symptoms is venous insufficiency. This occurs when the veins are unable to effectively return blood to the heart, leading to pooling of blood in the veins. This can cause the veins to appear more prominent and can lead to swelling. In the case of the head, this could be related to increased intracranial pressure or other vascular issues.

Another consideration is pulsatile tinnitus, which is a condition where you can hear a rhythmic sound that often corresponds to your heartbeat. This can occur due to increased blood flow in the vessels near the ear or due to vascular abnormalities. If you are experiencing any auditory symptoms along with the visual changes in your veins, this could be a relevant factor.

Additionally, migraine or other types of headaches can cause sensations of pressure and may be associated with changes in the blood vessels in the head. Migraines can sometimes cause visual disturbances and changes in perception of pressure in the head, which might explain the feeling of fullness you describe.

In some cases, inflammation or infection in the area could also lead to swelling and changes in the appearance of the veins. Conditions such as temporal arteritis (also known as giant cell arteritis) can cause inflammation of the blood vessels in the head and may present with headache, scalp tenderness, and visual disturbances. This condition is more common in older adults and requires prompt medical attention.

Given your symptoms, it is crucial to consult a healthcare professional for a thorough evaluation. They may recommend imaging studies, such as an ultrasound or MRI, to assess the blood vessels and surrounding tissues. Blood tests may also be necessary to rule out inflammatory conditions.

In summary, while the symptoms you describe could be due to a variety of conditions ranging from normal anatomical variations to more serious vascular issues, it is essential to seek medical advice for an accurate diagnosis and appropriate management. Early intervention can help prevent potential complications and provide relief from your symptoms.

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