Head Pain: When to See a Neurologist for Symptoms

Headache

Hello, I would like to ask about a recent issue.
I often feel pain in the left back of my head, which feels like a bump or pulling on my hair, and it lasts for about 2-3 days before subsiding.
Recently, I have also been experiencing brief and mild dizziness, where things I look at seem to sway slightly.
Additionally, my neck has been experiencing a mild pain similar to a tension headache, which has persisted for a long time.
Are these symptoms related? Which specialist should I see?

KK, 20~29 year old female. Ask Date: 2009/03/11

Dr. Lin Zijing reply Neurology

Pain in the back of the head is mostly located in the occipital region or the upper neck.
The structures in this area include the occipital lobe of the brain, the cerebellum, the upper cervical vertebrae, surrounding muscles, and the vertebral arteries.
Generally, headaches caused by intracranial disorders in the back of the head are often associated with tumors or blood clots that lead to increased intracranial pressure.
These headaches typically occur at night or in the early morning and may be accompanied by nausea or vomiting, as well as neurological symptoms such as visual field deficits or gait instability.
Disorders of the upper cervical vertebrae and surrounding muscles are more likely to be associated with localized tenderness and restricted neck movement due to pain.
Conditions affecting the vertebral arteries, such as vertebral artery dissection, can cause sudden and severe neck pain, sometimes accompanied by stroke symptoms.
You may consider consulting a neurologist based on your symptom presentation for further evaluation.

Reply Date: 2009/03/11

More Info

When it comes to understanding head pain and determining when to see a neurologist, it's essential to recognize the various types of headaches and their underlying causes. Based on your description of experiencing pain in the left back of your head, along with occasional dizziness and neck discomfort, there are several considerations to keep in mind.

Firstly, the type of pain you are experiencing can provide clues about its origin. The sensation of pain that feels like it results from a bump or pulling at the hair could indicate tension-type headaches or cervicogenic headaches. Tension-type headaches are often characterized by a dull, aching sensation and can be associated with muscle tightness in the neck and scalp. These headaches can be triggered by stress, poor posture, or prolonged periods of sitting, especially if you are working at a computer for extended hours.

Cervicogenic headaches, on the other hand, originate from issues in the cervical spine (neck) and can radiate pain to the head. Symptoms may include neck pain, headaches that worsen with neck movement, and sometimes dizziness. The light-headedness you describe could be related to neck issues, particularly if there is any nerve compression or irritation.

Given that your symptoms have persisted for a while, it is advisable to consult a healthcare professional. A neurologist would be an appropriate specialist to see, as they can evaluate your symptoms comprehensively. They may perform a neurological examination, assess your medical history, and possibly recommend imaging studies such as an MRI or CT scan to rule out any serious underlying conditions.

Additionally, if you have experienced any changes in vision, balance, or coordination, or if the headaches become more severe or frequent, it is crucial to seek medical attention promptly. These could be signs of more serious conditions that require immediate evaluation.

In summary, while your symptoms may be related to tension or cervical issues, it is essential to consult a neurologist to obtain a proper diagnosis and treatment plan. They can help determine whether your headaches are primary (like tension-type or migraines) or secondary (due to another underlying condition). Early intervention can lead to better management of your symptoms and improve your overall quality of life. Remember, it’s always better to err on the side of caution when it comes to health concerns, especially those involving persistent pain or neurological symptoms.

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