Regarding the issue of irregularities in the occipital region?
Hello, doctor.
About a month ago, I noticed some irregularities in the center of the back of my head (specifically at the intersection of a line extending horizontally from the upper part of my ear and a line extending vertically from the center of my cervical spine).
While washing my hair, I felt a raised area (the texture is hard like bone) starting from the hairline at the back of my head and moving upwards.
Initially, it was raised, then there was a flatter area (with a slight feeling of indentation), and as I continued to feel upwards, it raised again, then dipped lower.
I haven't experienced any other significant symptoms and I'm not sure if it was there before, as I've been more aware of my body lately and touching various areas, which I didn't used to do.
A few days ago, I visited an orthopedic doctor for a physical examination.
The doctor indicated that it appeared to be a normal bone structure, as human bones can naturally have some irregularities.
He also reviewed a CT scan (taken about six months ago prior to my sinus surgery, with one image showing a lateral view of my head) and stated that the CT showed the structure I mentioned had been present before, and after reviewing the images, he said it looked normal and advised me not to worry.
I wanted to seek a different specialist's opinion, as I often worry about potential tumor issues.
Thank you for your guidance!
Ryan, 30~39 year old female. Ask Date: 2023/01/07
Dr. Lai Zhaokang reply Neurosurgery
Hello: 1.
As your previous orthopedic doctor mentioned, it should be a normal skull.
2.
A CT scan has also been performed, and if the doctor determines it to be normal, you can feel more at ease.
3.
If you are still concerned, consider consulting a neurosurgeon for another evaluation.
Best wishes, Dr.
Lai Chao-Kang, Neurosurgery.
Reply Date: 2023/01/07
More Info
Understanding irregularities in the occipital region, particularly in the context of your concerns, involves a multifaceted approach that encompasses both anatomical knowledge and clinical assessment. The occipital region, located at the back of the skull, is an area where various structures, including bones, muscles, and nerves, converge. It is not uncommon for individuals to notice variations in the contour of their skull, especially if they begin to pay closer attention to their bodies, as you mentioned.
From your description, it seems you have identified some irregularities in the bone structure of your occipital region. The fact that you felt areas that were both raised and slightly depressed is not unusual. The human skull is not a perfectly smooth structure; it has natural variations and contours that can be more pronounced in some individuals than others. These variations can be due to normal anatomical differences, previous injuries, or even developmental factors.
The reassurance you received from the orthopedic physician, who indicated that the irregularities you felt are likely normal bone structures, is significant. It is important to remember that the skull can have various bony prominences and depressions that are entirely benign. The CT scan you had previously, which showed that these structures were present before your recent concerns, further supports the idea that what you are feeling is likely a normal anatomical variant rather than a pathological condition.
Your anxiety about potential tumors or other serious conditions is understandable, especially when one becomes more aware of their body and notices changes or irregularities. However, it is crucial to differentiate between normal anatomical variations and pathological changes. Tumors or other significant conditions typically present with additional symptoms, such as pain, neurological deficits, or changes in function. Since you have not reported any accompanying symptoms, this further reduces the likelihood of a serious underlying issue.
If you continue to feel anxious about these irregularities, it may be beneficial to consult with a neurologist or a neurosurgeon. These specialists can provide a more in-depth evaluation of the neurological aspects of your concerns and may offer additional imaging studies if deemed necessary. They can also help address any psychological aspects of your health anxiety, which can be just as important as addressing physical health concerns.
In summary, the irregularities you are feeling in the occipital region are likely normal anatomical variations. The reassurance from your orthopedic physician, along with the previous CT scan results, suggests that there is no cause for concern. However, if your anxiety persists, seeking a second opinion from a neurologist or neurosurgeon may provide you with further peace of mind. Remember, being proactive about your health is important, but it is equally important to balance that with understanding what is normal for your body.
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