Sudden Vascular Constriction in the Back of the Head - Cardiology

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The back of the head often feels like the blood vessels are suddenly constricting?


I often suddenly feel a constriction in the blood vessels at the back of my head, which causes a feeling of pressure and discomfort, a sort of dull ache.
Could you please explain what might be causing this? Thank you.

ANNA, 20~29 year old female. Ask Date: 2015/08/09

Dr. Lin Jixiong reply Cardiology


Hello: It would be more appropriate to consult a neurologist regarding your question.
Dr.
Lin Chi-Hsiung from Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2015/08/09

More Info


Understanding sudden vascular constriction in the back of the head can be quite complex, as it involves various physiological and neurological factors. The sensation of blood vessels suddenly constricting in the occipital region (the back of the head) can lead to discomfort characterized by a feeling of pressure or tightness. This type of discomfort is often associated with tension-type headaches, which are the most common form of headache.

Tension-type headaches are typically caused by muscle tension in the neck and scalp, which can occur due to prolonged periods of poor posture, stress, or anxiety. When the muscles in the neck and scalp become tense, they can exert pressure on the underlying blood vessels, leading to the sensation of constriction. This can create a feeling of heaviness or a dull ache in the head, particularly in the occipital area.
Another possible explanation for the sensation of vascular constriction could be related to migraine headaches. Migraines can sometimes present with a feeling of throbbing or pulsing pain, often accompanied by other symptoms such as nausea, sensitivity to light, and visual disturbances. In some cases, individuals may experience an aura, which can include sensory disturbances that precede the headache. While migraines are typically unilateral (affecting one side of the head), they can also present with bilateral symptoms, including discomfort in the back of the head.

Additionally, vascular headaches can occur due to sudden changes in blood flow or blood pressure. For instance, if there is a sudden increase in blood pressure, it can lead to a feeling of pressure in the head. Conversely, if there is a sudden drop in blood pressure, it may also result in discomfort. Factors such as dehydration, caffeine withdrawal, or abrupt changes in posture can contribute to these fluctuations.

If you are experiencing recurrent episodes of this sensation, it is essential to consider other potential underlying causes. Conditions such as cervical spine issues, which can lead to nerve compression or irritation, may also manifest as headaches or discomfort in the occipital region. Furthermore, if there are accompanying symptoms such as visual disturbances, dizziness, or neurological deficits, it is crucial to seek medical attention promptly.

In summary, the sensation of sudden vascular constriction in the back of the head can be attributed to various factors, including muscle tension, migraine headaches, and fluctuations in blood flow. If these symptoms persist or worsen, it is advisable to consult a healthcare professional, preferably a neurologist, who can conduct a thorough evaluation and recommend appropriate diagnostic tests, such as imaging studies, to rule out any serious underlying conditions. Lifestyle modifications, such as stress management techniques, regular exercise, and maintaining good posture, can also help alleviate symptoms and reduce the frequency of headaches.

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