Persistent Sounds in the Left Back of the Head - Neurology

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There are often sounds occurring in the left posterior part of the brain?


Hello, Doctor.
I have been experiencing sounds in the left back of my head for almost a year now.
Recently, for the past two months, it has been occurring several times a day.
Previously, it only happened occasionally, but now it sometimes comes with pain once or twice.
What could be the reason for this?

Hui Ru, 20~29 year old female. Ask Date: 2014/11/06

Dr. Gao Chunde reply Neurology


If this sound can also be heard by others, or if it pulsates in sync with your heartbeat, it is advisable to see a neurologist as soon as possible.
This could be due to turbulent sounds generated by vascular abnormalities in the intracranial area or the meninges, or other underlying causes.
If the frequency increases and new symptoms occasionally arise, it is still recommended to consult a physician.

Reply Date: 2014/11/06

More Info


Understanding persistent sounds in the left back of the head can be quite complex, as it may involve various underlying conditions. Based on the information provided, it appears that you have been experiencing these sounds for nearly a year, with an increase in frequency and the addition of pain in the last couple of months. This situation warrants a thorough examination and understanding of potential causes.

Firstly, the sounds you are experiencing could be classified as "tinnitus," which is the perception of noise or ringing in the ears when no external sound is present. However, given that you describe the sounds as originating from the back of your head, it may be more related to vascular or neurological issues rather than typical ear-related tinnitus.
One possibility is that the sounds you hear are related to vascular changes or abnormalities in the blood vessels near the brain. This could include conditions such as arteriovenous malformations (AVMs) or other vascular anomalies that can create turbulent blood flow, resulting in audible sounds that may synchronize with your heartbeat. If the sounds are indeed pulsatile, it is crucial to consult a neurologist or a vascular specialist to investigate this further.

Another potential cause could be related to muscle tension or spasms in the neck and upper back. The muscles in this area can become tight due to stress, poor posture, or injury, leading to referred sensations or sounds that may be perceived in the head. This is particularly relevant if you have a history of tension headaches or migraines, as these conditions can exacerbate muscle tension and lead to additional symptoms.

Additionally, issues with the cervical spine, such as cervical spondylosis or herniated discs, could also contribute to the sounds you are experiencing. These conditions can affect the nerves and blood vessels in the neck, potentially leading to abnormal sensations or sounds in the head. A thorough examination by a healthcare professional, including imaging studies like an MRI, may be necessary to rule out these possibilities.

Given that you have also reported pain accompanying the sounds, it is essential to consider the possibility of a more serious underlying condition. New or worsening symptoms, especially those associated with pain, should not be ignored. It is advisable to seek immediate medical attention if you experience any additional symptoms such as dizziness, visual changes, or neurological deficits.

In summary, the persistent sounds in the left back of your head could stem from various causes, including vascular issues, muscle tension, or cervical spine problems. It is crucial to consult with a healthcare professional, preferably a neurologist, who can conduct a comprehensive evaluation and recommend appropriate diagnostic tests. Early intervention is key to managing any underlying conditions effectively and alleviating your symptoms.

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