Unusual Head Sensations: Insights from Neurology - Neurology

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Abnormal sensations in the head?


Hello, Doctor:
1.
In recent months, when I close my eyes to fall asleep, I often feel a strange pressure on the top of my head (like a sensation of a large object pressing down on me, which I couldn't find any similar symptoms online).

2.
Since middle school, I have frequently experienced a sensation where, after closing my eyes for a period of time (about half a minute), I feel a spatial awareness emerging from the center of the top of my head (I apologize for the abstract description, but this sensation is really difficult to articulate).
I wonder if you have encountered this or seen similar cases in textbooks?

Liu Xiansheng, 20~29 year old female. Ask Date: 2024/05/24

Dr. Chen Weida reply Neurology


Hello Mr.
Liu, if this issue has been troubling you for a long time, I recommend that you visit a neurology clinic for an evaluation by a specialist, in order to improve your quality of life.
Wishing you health and safety, thank you.

Reply Date: 2024/05/24

More Info


Understanding unusual head sensations can be quite complex, especially when they are accompanied by a history of head trauma and lifestyle factors such as sleep deprivation. Your description of a "strange pressure sensation" on the top of your head when closing your eyes, along with the feeling of spatial awareness emanating from the center of your head, raises several points worth discussing.

Firstly, the sensation of pressure on the head can be attributed to various factors. One possibility is tension-type headaches, which are often characterized by a feeling of tightness or pressure around the forehead or back of the head. These headaches can be exacerbated by stress, anxiety, and lack of sleep, which seems to align with your recent experiences of staying up late. The brain is highly sensitive to changes in its environment, and the combination of fatigue and stress can lead to heightened sensitivity, resulting in unusual sensations.

Moreover, the feeling of spatial awareness or a change in perception when you close your eyes could be related to a phenomenon known as "visual deprivation." When the eyes are closed, the brain may rely more heavily on other sensory inputs, leading to altered perceptions of space and body awareness. This can be particularly pronounced in individuals who have experienced head trauma, as the brain's processing of sensory information may be affected.
Your history of head injuries, especially during childhood, is also significant. Repeated trauma to the head can lead to long-term changes in brain function, including alterations in sensory processing and perception. It’s important to consider that these sensations might be linked to previous injuries, especially if they involved areas of the brain responsible for sensory integration.

In terms of neurological conditions, while your symptoms do not immediately suggest a specific disorder, they warrant further investigation. Conditions such as migraines, vestibular disorders, or even post-concussion syndrome could potentially explain your symptoms. Migraines, for instance, can present with a variety of sensory disturbances, including pressure sensations and altered spatial awareness.
Given the complexity of your symptoms and their potential links to both lifestyle factors and past injuries, it is advisable to consult with a neurologist. A thorough neurological examination, along with imaging studies like an MRI or CT scan, may be necessary to rule out any underlying conditions. Additionally, keeping a symptom diary could be beneficial. Documenting when these sensations occur, their duration, and any associated factors (like stress levels or sleep patterns) can provide valuable insights for your healthcare provider.

In the meantime, consider implementing stress-reduction techniques such as mindfulness meditation, yoga, or gentle exercise. These practices can help alleviate tension in the body and may reduce the frequency or intensity of your symptoms. Ensuring adequate sleep and maintaining a balanced lifestyle can also contribute positively to your overall well-being.

In summary, while your experiences are indeed unusual and can be challenging to articulate, they are not unheard of in the realm of neurology. The interplay between past head trauma, current lifestyle choices, and neurological function is intricate, and seeking professional guidance is crucial for a comprehensive evaluation and management plan.

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