a Bump on the Back of the Head: What You Need to Know - Neurosurgery

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There is a protrusion on the back of the head?


While studying, I suddenly felt a slight, unusual pain in my brain, so I touched my head and discovered a small bump on the back of my skull.
There was no external trauma or impact; I found it by chance.
Doctor, what could this situation be?

Yu Hao, 20~29 year old female. Ask Date: 2009/03/21

Dr. Zhang Yuanyi reply Neurosurgery


Dear Mr.
Yu-Hao,
Hello, the normal human anatomy includes a protrusion at the back of the neck known as the "external occipital protuberance," which may be what you are feeling.
However, it could also be indicative of other issues.
It is difficult to assess through email, so I recommend visiting a medical facility for a consultation.
Wishing you peace and health.
Sincerely,
Dr.
Zhang Yuan-Yi
Attending Physician, Department of Neurosurgery
Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2009/03/21

More Info


When you discover a bump on the back of your head, especially if it appears suddenly and without any known trauma, it can understandably cause concern. There are several potential explanations for this phenomenon, and understanding them can help you determine the best course of action.

Firstly, it's important to note that bumps on the head can arise from various causes. One common reason is the formation of a lipoma, which is a benign tumor made up of fat tissue. Lipomas are usually soft, movable, and painless, and they can develop anywhere on the body, including the scalp. They are generally harmless and do not require treatment unless they become bothersome or painful.

Another possibility is a sebaceous cyst, which occurs when a hair follicle becomes blocked. These cysts can feel firm and may be tender to the touch. They are also typically harmless but can become infected, leading to redness, swelling, and pain.

In some cases, a bump may be the result of a hematoma, which is a localized collection of blood outside of blood vessels, often caused by trauma. However, since you mentioned that there was no external injury, this is less likely to be the cause in your situation.

Additionally, inflammatory conditions such as folliculitis (inflammation of hair follicles) or dermatitis can also lead to swelling or bumps on the scalp. These conditions may be accompanied by redness, itching, or discomfort.

Given your description of experiencing a slight pain or discomfort in the area, it’s essential to monitor the bump for any changes. If the bump grows larger, becomes increasingly painful, or if you develop other symptoms such as fever, headaches, or neurological changes (like dizziness or visual disturbances), it would be prudent to seek medical attention.

In terms of diagnostic steps, a healthcare provider may perform a physical examination and, if necessary, imaging studies such as an ultrasound or CT scan to evaluate the bump further. In some cases, a biopsy may be warranted to rule out any serious conditions.

It's also worth considering your overall health and any other symptoms you may be experiencing. For instance, if you have a history of headaches or neurological symptoms, it may be beneficial to discuss these with your doctor, as they could be related.

In summary, while a bump on the back of the head can be concerning, many causes are benign. However, it is crucial to remain vigilant and consult a healthcare professional if you notice any changes or if the bump causes you significant discomfort. Regular check-ups and open communication with your doctor can help ensure that any potential issues are addressed promptly.

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