Persistent Heat Sensation in the Back of the Head - Neurology

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The back of the head feels warm and tingly on both sides?


Hello, doctor.
I am not very good at expressing my feelings, so I would like to understand my condition better.
My situation has become more severe in the past six months.
Previously, I would only feel heat at the back of my head when I was particularly tired, which shouldn't be described as numbness because it hurts when I touch it.
However, for the past month or two, I have been experiencing this heat sensation continuously, 24 hours a day, at the back of my head on both sides.
It feels like a throbbing sensation, and I feel weak all over, especially when I lie in bed; I have to rely on sheer willpower to get up.
My overall activity level is very poor, and I am afraid of not waking up after sleeping.
I am currently relying on willpower to go to work and live my life, and I am really close to losing my mind.
Should I see a neurologist? It shouldn't be a stroke, right? I am only 24 years old.

Afa, 20~29 year old female. Ask Date: 2009/02/08

Dr. Ye Boshou reply Neurology


Hello: This does not appear to be a stroke, but if the neck swelling and discomfort do not improve, it is still advisable to have a physician evaluate it.

Reply Date: 2009/02/08

More Info


It sounds like you are experiencing a complex set of symptoms that are affecting your daily life significantly. The persistent heat sensation in the back of your head, along with feelings of weakness and fatigue, can be concerning. Given your age and the nature of your symptoms, it is essential to approach this situation carefully and seek appropriate medical evaluation.

The sensation of heat in the back of the head can be attributed to several potential causes. One possibility is muscle tension or strain, particularly in the neck and upper back. This tension can lead to referred sensations in the head, including feelings of warmth or discomfort. Prolonged periods of poor posture, especially when using computers or mobile devices, can exacerbate muscle tension and lead to these symptoms. Additionally, conditions such as cervicogenic headaches, which originate from the cervical spine, can also present with similar sensations.

Another consideration is the possibility of neurological issues. While it is less common for a 24-year-old to experience serious neurological conditions, it is not impossible. Symptoms such as persistent heat, weakness, and fatigue could indicate a need for further investigation to rule out conditions such as multiple sclerosis or other neurological disorders. It is crucial to consult a neurologist who can perform a thorough examination and possibly recommend imaging studies, such as an MRI, to assess the brain and cervical spine.

Moreover, your symptoms could also be related to systemic issues, such as thyroid dysfunction or other metabolic disorders. Fatigue and weakness are often nonspecific symptoms that can arise from various underlying conditions, including anemia, chronic fatigue syndrome, or even anxiety and depression. It is essential to consider your overall health, including sleep patterns, stress levels, and lifestyle factors, as these can significantly impact your physical well-being.

In terms of immediate steps, I recommend scheduling an appointment with a neurologist. They can provide a comprehensive evaluation of your symptoms and determine if further testing is necessary. It may also be beneficial to keep a symptom diary, noting when the heat sensation occurs, its duration, and any accompanying symptoms. This information can help your healthcare provider make a more accurate diagnosis.

In the meantime, consider implementing some lifestyle changes that may alleviate your symptoms. Regular physical activity, even light stretching or yoga, can help reduce muscle tension. Additionally, practicing good ergonomics while working at a computer can prevent strain on your neck and upper back. Ensure you take regular breaks to stretch and move around, which can help alleviate tension and improve circulation.

Lastly, if you find that anxiety about your symptoms is contributing to your overall sense of fatigue and weakness, it may be helpful to speak with a mental health professional. They can provide strategies to manage anxiety and improve your overall quality of life.

In summary, while your symptoms are concerning, they are not necessarily indicative of a severe condition like a stroke, especially given your age. However, it is crucial to seek medical attention to rule out any underlying issues and to receive appropriate care. Your health is paramount, and addressing these symptoms early can lead to better outcomes.

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