Occipital Bone Irregularities: Normal Variations or Concerns? - Orthopedics

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Recently, I noticed an area on the back of my head that appears both sunken and raised?


I recently discovered a spot on the back of my head that feels both like a depression and a protrusion.
I think it might be due to the sleeping position I had as a baby, which caused a dent in my skull.
However, after looking at descriptions of "occipital bone protrusions" in other patients, I feel that my symptoms resemble a protrusion located around the area of the ears, above the neck.
When I touch from the top of my head down, I first feel a dip before encountering a small protrusion.
I only noticed it recently, and I haven't experienced any dizziness or unusual symptoms.
Doctor, does this count as a normal occipital bone protrusion? Or could it be a result of poor sleeping habits as a baby or an impact? I'm very concerned about potential changes or long-term effects.
Thank you for your response!

Lu Dan, 20~29 year old female. Ask Date: 2012/07/09

Dr. Shi Guozheng reply Orthopedics


The occipital protuberance is usually normal and should not be overly prominent if it is located in the midline of the occipital bone.
If you are very concerned, you may consult a neurosurgeon.

Reply Date: 2012/07/09

More Info


Understanding irregularities in the occipital bone can be a source of concern for many individuals, especially when they notice changes in their skull shape or structure. The occipital bone is located at the back of the skull and plays a crucial role in protecting the brain and supporting the structure of the head. Variations in the shape of the occipital bone can occur due to a variety of factors, including genetics, developmental changes, and external influences such as sleeping positions during infancy or trauma.

In your case, you describe a region at the back of your head that feels both recessed and protruding. This could potentially be a normal anatomical variation, as the human skull can exhibit a wide range of shapes and sizes. Many individuals have slight irregularities in their skulls that do not indicate any underlying health issues. For instance, some people may have a more pronounced occipital protuberance, which is a normal anatomical feature that serves as an attachment point for muscles and ligaments.

However, it is also important to consider the possibility that your observations could be related to your sleeping position as an infant. Infants often develop flat spots on their heads (plagiocephaly) due to prolonged pressure on one area of the skull while lying down. This can lead to asymmetrical skull shapes, but it typically does not cause any long-term health issues if managed appropriately. If you are noticing a significant change in the shape of your skull or if there are any associated symptoms such as headaches, dizziness, or changes in vision, it would be prudent to seek a professional evaluation.

Trauma, such as a fall or bump to the head, can also lead to changes in the skull's shape. If you have experienced any head injuries in the past, it is essential to consider whether these could have contributed to the irregularities you are observing. While most minor head injuries heal without complications, more significant trauma can sometimes lead to structural changes or other issues that may require medical attention.

Given that you have not experienced any symptoms such as dizziness or other neurological issues, it is possible that what you are feeling is a benign variation of normal anatomy. However, if you are feeling anxious about these changes or if they are accompanied by any new symptoms, I would recommend consulting with a healthcare professional, such as a neurologist or an orthopedic specialist. They can perform a thorough examination, possibly including imaging studies like X-rays or CT scans, to assess the structure of your skull and rule out any underlying conditions.

In summary, while variations in the shape of the occipital bone can be normal and benign, it is always best to err on the side of caution. If you have concerns about your skull shape or any associated symptoms, seeking a professional opinion can provide you with peace of mind and ensure that any potential issues are addressed appropriately.

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