What Is The Cause Of Scalp Pain?

What Is The Cause Of Scalp Pain
Scalp pain may be caused by a number of medical conditions, including dandruff, skin disorders, lice infestations, and infections. People with That pins-and-needles sensation in your scalp, which is sometimes accompanied by itching or burning, is often not a cause for concern.

How can I relieve scalp pain?

– Treatments vary depending on the cause or symptom. Special shampoos like Selsun Blue or Head & Shoulders can help alleviate itchiness or dry, flaky scalp. Change your shampoo, rinse your hair more carefully, and brush your hair gently. Ibuprofen or similar over-the-counter medication may help relieve inflammation or headaches that cause sensitivity.

  1. Certain essential oils, such as lavender or rosemary, can help heal sores that may be causing scalp pain.
  2. However, applying undiluted essential oil to your scalp may make your symptoms worse.
  3. You’ll need to dilute it first.
  4. To dilute the oil, mix 4 to 6 drops of essential per each ounce of a carrier oil,

Sweet almond oil works well for the hair. Before applying to your scalp, test the mixture on a small patch of skin, say, on your forearm. Wait 24 hours to determine whether your skin is going to have a reaction. If it doesn’t, it should be okay to use the mixture on your head.

Gently massage the mixture into your hair and scalp. Leave it in for 15 to 20 minutes, and then wash it out. You may need to apply a gentle shampoo up to three times and rinse well. Depending on your symptoms, you may need to seek medical attention. If first-line treatments aren’t relieving your irritation, your doctor may prescribe stronger medication or special shampoo.

If special care is needed, you doctor may refer you to a dermatologist,

Why does my scalp hurt to touch?

A sore scalp can be caused by infected hair follicles, scalp pimples, or tension from certain hairstyles that may pull the hair too tight. Other causes for scalp tenderness include trauma from a head injury, or underlying skin condition like eczema or cellulitis.

When should I be concerned about scalp pain?

When to See a Doctor – If you experience symptoms such as a severe headache or a rash that appears on other parts of your body as well as your scalp, you should book an appointment to see your doctor. Any scalp soreness that does not go away within one to two weeks should be further investigated by a medical professional.

Why does my head hurt in one spot when I touch it?

Migraine headaches cause intense, throbbing head pain. These headaches also can make your nerves so sensitive that even the slightest touch hurts. This is called allodynia, which means “other pain.” Up to about 80% of people with this condition have allodynia during an attack.

Can a brain tumor cause scalp tenderness?

Scalp dysesthesia, more than skin deep a University of Central Florida College of Medicine, Orlando, Florida Find articles by b Department of Dermatology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire Find articles by c Department of Neurology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire Find articles by b Department of Dermatology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire Find articles by Key words: brain tumor, burning scalp syndrome, itch, meningioma, neuropathic itch, pruritus, scalp dysesthesia © 2022 by the American Academy of Dermatology, Inc.

Published by Elsevier, Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Scalp dysesthesia (burning scalp syndrome) is characterized by abnormal sensations of the scalp such as burning, tingling, and pruritus in the absence of objective skin findings.

Several underlying brain disorders present with dysesthesia, most commonly as neuropathic itch. This type of itch has been described in several neurologic conditions, including stroke, tumors, vascular malformations, demyelinating disease, and radicular compression.

To date, no cases of localized scalp dysesthesia related to a meningioma have been described. We present a unique case of a patient with scalp dysesthesia related to a left frontal meningioma. A 71-year-old woman presented to dermatology with a several-month history of constant 8/10 scalp pruritus, without trichodynia (painful scalp), primarily localized to the right frontal aspect of the scalp.

The itch was worse at night. No primary skin changes were found on physical examination. Since there were no cutaneous findings, she was diagnosed with scalp dysesthesia and was started on oral gabapentin 200 mg twice a day without topical medication. Her scalp symptoms improved minimally with this regimen.

  1. Concomitantly, she was seen by her primary care doctor for worsening forgetfulness and imbalance.
  2. She was subsequently evaluated by neurology, who noted a 2-year history of progressive decline in memory, cognition, and motor function.
  3. She had no history of stroke or major head injury and no family history of dementia of the Alzheimer type, Parkinson disease, or other central nervous system disorders.
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She was diagnosed with short-term memory loss and bradykinesia. Her neurologic examination was otherwise normal. She was referred for diagnostic testing and imaging to assist in the differential diagnosis and was started on donepezil. Brain magnetic resonance imaging showed a 6.7 × 4.5 × 4.5-cm durally based mass in the left frontal region causing a significant mass effect on right frontal lobe ( and ).

This caused significant brain compression with vasogenic edema surrounding the mass and was suggestive of a meningioma. She immediately underwent craniotomy and tumor debulking. Histology confirmed a meningioma. Three days after the operation, the patient’s gabapentin was discontinued. Two weeks post-surgery, the patient’s symptoms of scalp dysesthesia completely resolved.

Brain magnetic resonance imaging showed significant improvement of the left-right midline shift and a residual small right-sided meningioma. One year later, her symptoms of scalp dysesthesia recurred, again localized to the right frontal aspect of the scalp.

Brain magnetic resonance imaging showed an increase in the size of the residual right falcine meningioma, now measuring 4.6 × 2.6 × 2.6 cm. Scalp dysesthesia was first described by Hoss and Segal in 1998 and was reported in the setting of psychiatric disorders. In 2013, a limited retrospective review of patients with scalp dysesthesia found a strong association with cervical spine disease.

The authors hypothesized that the symptoms were secondary to chronic muscle tension placed on the pericranial muscles and scalp aponeurosis, but the true etiology remains unknown. Scalp dysesthesia has been described as secondary to a number of neurologic disorders, including brain tumors.

Meningioma is the most common primary central nervous system tumor, with an overall incidence of 7.8/100,000. Many meningiomas are asymptomatic or minimally symptomatic, leading to difficulty and delay in diagnosis. Common symptoms include seizures, visual changes, anosmia, headaches, auditory changes, weakness, cognitive and behavioral deficits, aphasia, and mental status changes.

In previous case reports, patients with meningiomas associated with the trigeminal nerve have presented with dysesthesia of the eye, orbit, and upper portion of the face, while patients with foramen-magnum meningiomas have presented with pruritus of the arm and hand.

In our case, the patient presented with unusual focal scalp dysesthesia likely related to a frontal lobe meningioma. This is supported by the resolution of scalp symptoms following surgical debulking and subsequent recurrence of her scalp symptoms with growth of the frontal meningioma. The right focal nature of her symptoms could be attributed to the significant mass effect and right-sided meningioma.

Meningiomas are tumors of the meninges, which have sensory innervation, primarily through the meningeal branches of the trigeminal and vagus nerves, as well as a small component of the upper cervical spinal nerves. The associated symptoms of scalp dysesthesia may be related to the shared innervation of the scalp and meninges via the trigeminal nerve.

To our knowledge, this is the first published case of localized scalp pruritus and dysesthesia associated with meningioma. Many asymptomatic or mildly symptomatic meningiomas go undiagnosed, though they are the most common primary central nervous system tumor. This case demonstrates that focal refractory scalp dysesthesia is another useful symptom in the setting of other neurologic findings that can be associated with meningiomas.

Physicians should consider referral to neurology when scalp dysesthesia is focal, refractory, and found in combination with other neurologic symptoms. Funding sources: None. IRB approval status: Not applicable.1. Hoss D., Segal S. Scalp dysesthesia. Arch Dermatol.1998; 134 (3):327–330.

Doi: 10.1001/archderm.134.3.327.2. Oaklander A.L. Neuropathic itch. Semin Cutan Med Surg.2011; 30 (2):87–92. doi: 10.1016/j.sder.2011.04.006.3. Thornsberry L.A., English J.C., 3rd Scalp dysesthesia related to cervical spine disease. JAMA Dermatol.2013; 149 (2):200–203. doi: 10.1001/jamadermatol.2013.914.4.

Baldi I., Engelhardt J., Bonnet C., et al. Epidemiology of meningiomas. Neurochirurgie.2018; 64 (1):5–14. doi: 10.1016/j.neuchi.2014.05.006.5. Wu A., Garcia M.A., Magill S.T., et al. Presenting symptoms and prognostic factors for symptomatic outcomes following resection of meningioma.

  • World Neurosurg.2018; 111 :e149–e159.
  • Doi: 10.1016/j.wneu.2017.12.012.6.
  • Moore K., Daley A., Agur A.7th ed.
  • Lippincott Williams & Wilkins; Philadelphia: 2013.
  • Moore Clinically Oriented Anatomy; pp.701–703.7.
  • Emp W.J., 3rd, Tubbs R.S., Cohen-Gadol A.A.
  • The innervation of the scalp: a comprehensive review including anatomy, pathology, and neurosurgical correlates.

Surg Neurol Int.2011; 2 :178. doi: 10.4103/2152-7806.90699.8. Radhakrishnan K., Mokri B., Parisi J.E., O’Fallon W.M., Sunku J., Kurland L.T. The trends in incidence of primary brain tumors in the population of Rochester, Minnesota. Ann Neurol.1995; 37 (1):67–73.

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Does stress cause scalp pain?

1. The Stress Response – Anxious behavior, such as worry, activates the stress response, which prepares the body for immediate emergency action – to either fight or flee. This survival reaction is often referred to as the fight or flight response, The stress response causes many body-wide changes, including:

Tightens muscles so that the body is more resilient to harm, including those in the head, face, neck, and scalp. Shunts blood to parts of the body more important for survival, such as the brain and muscles, and away from those less important, such as the skin and digestive system. Stimulates the nervous system, which includes certain parts of the brain. Heightens most of the body’s senses, including touch.

Visit our ” Stress Response ” article for information about its many changes. Since these survival changes push the body beyond its balance point (equilibrium), stress responses stress the body. As such, anxiety stresses the body. A body that becomes stressed can exhibit symptoms of stress.

Therefore, anxiety symptoms are symptoms of stress. They are called anxiety symptoms because anxious behavior is the main source of the stress that stresses the body, causing symptoms of stress. Any one or combination of these stress response changes can cause symptoms that affect the scalp, such as burning, itchy, tight, tingling, crawly, pressure, pain, and so on.

Acute stress, such as from anxious behavior, is a common cause of scalp symptoms. As long as the stress response is active, it can produce symptoms.

Why does it hurt when I press my head?

– The most common causes of pressure and pain in the head are tension headaches and migraines. Both of these conditions respond well to treatments. In rare cases, pressure in the head is a sign of a more serious condition. If the issue persists, you should see a doctor.

What do brain tumors headaches feel like?

What do headaches caused by brain tumors feel like? – Every patient’s pain experience is unique, but headaches associated with brain tumors tend to be constant and are worse at night or in the early morning. They are often described as dull, “pressure-type” headaches, though some patients also experience sharp or “stabbing” pain.

  • They can be localized to a specific area or generalized.
  • They can be made worse with coughing, sneezing or straining.
  • A headache caused by a tumor may respond to over-the-counter medications early in treatment but may become more resistant to medication over time.
  • The brain itself does not have any pain receptors, but there are several mechanisms that explain why brain tumors cause headaches.

The most basic is that a tumor can raise your intracranial pressure (pressure inside the skull) and cause stretching of the dura—the covering of the brain and spinal cord. This can be painful, because the dura has sensory nerve endings. “The skull is basically a sphere with a set amount of tissue inside it.

Adding more tissue (a tumor or blood clot, for example) raises the pressure inside the sphere because the skull cannot expand to accommodate it,” says Dr. Lipinski. Also, tumors sometimes can occur in locations that block the normal flow of cerebrospinal fluid—the fluid created in the brain that coats and cushions the brain and spinal cord.

“The increased fluid can also increase the intracranial pressure,” says Dr. Lipinski. Some people also theorize that stretching of blood vessels by a tumor could be perceived as painful, says Dr. Lipinski, adding, “It also is possible that certain tumors release inflammatory proteins (cytokines) that may contribute to headache.”

Can a brain tumor be felt on the scalp?

Can You Feel a Skull Base Tumor? Typically not. Lumps on the head may be a sign of something else such as a head injury or other conditions. Those include a noncancerous cyst, an inflamed hair follicle, or a noncancerous skin tumor.

Where does your head hurt with a brain tumor?

Symptoms that accompany a brain tumor headache double vision, blurred vision, or a loss of vision. increased pressure felt in the back of the head.

Do brain tumors feel sore?

Symptoms of a brain tumor headache – When brain tumors cause pain, the discomfort is usually a result of a tumor pressing on a nearby nerve or nerve roots. While the brain itself cannot feel pain, inflammation and nerve root compression can lead to a number of uncomfortable symptoms. Brain tumor-related headaches are typically accompanied by one or more neurological complications, including:

Nausea or vomiting Blurred vision Seizures Weakness or paralysis Speech impairment Memory loss Confusion, disorientation or sudden personality changes

Can meningioma cause scalp pain?

Comment – Meningiomas are derived from meningothelial cells found in the leptomeninges and in the choroid plexus of the ventricles of the brain.2 They are common intracranial neoplasms that generally are associated with a benign course and present during the fourth to sixth decades of life.

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Meningiomas constitute 13% to 30% of intracranial neoplasms and usually are female predominant (3:1).3,4 Rarely, malignant transformation can lead to local and distant metastasis to the lungs, 5,6 liver, 7 and skeletal system.8 In cases of metastatic spread, there is an increased incidence in males versus females.9-11 Risk Factors Although many meningiomas are sporadic, numerous risk factors have been associated with the disease development.

One study showed a link between exposure to ionizing radiation and subsequent development of meningioma.12 Another study found a population link between a higher incidence of meningioma and nuclear exposure in Hiroshima, Japan, after the atomic bomb blast in 1980.13 There is an increased incidence of meningioma in patients exposed to radiography from frequent dental imaging, particularly when older machines with higher levels of radiation exposure are used.14 Another study demonstrated a correlation between meningioma and hormonal factors (eg, estrogen for hormone therapy) and exacerbation of symptoms during pregnancy.15 There also is an increased incidence of meningioma in breast cancer patients.4 Genetic alterations also have been implicated in the development of meningioma.

  1. It was found that 50% of patients with a mutation in the neurofibromatosis 2 gene (which codes for the merlin protein) had associated meningiomas.16,17 Scalp nodules in patients with neurofibromatosis type 2 increases suspicion of a scalp meningioma and necessitates biopsy.
  2. Clinical Presentation Cutaneous meningiomas typically present as firm, subcutaneous nodules.

Scalp nodules ranging from alopecia 18,19 to hypertrichosis 20 have been reported. These neoplasms can be painless or painful, depending on mass effect and location. Classification The primary clinical classification system of metastatic meningioma was first described in 1974.21 Type 1 meningioma refers to congenital lesions that tend to cluster closer to the midline.

  1. Type 2 refers to ectopic soft-tissue lesions that extend to the skin from likely remnants of arachnoid cells.
  2. These lesions are more likely to be found around the eyes, ears, nose, and mouth.
  3. Type 3 meningiomas extend from intracranial tumors that secondarily involve the skin through proliferation through bone or anatomic defects.

Type 3 is the result of direct extension and the location of the cutaneous presentation depends on the location of the intracranial lesion.4,22,23 Pathology Meningiomas exhibit a range of morphologic appearances on histopathology. In almost all meningiomas, tumor cells are concentrically wrapped in tight whorls with round-oval nuclei and delicate chromatin, central clearing, and pale pseudonuclear inclusions.

Lamellate calcifications known as psammoma bodies are a common finding. Immunohistochemical studies show that most meningiomas are positive for EMA, vimentin, and progesterone receptor. S100 protein expression, if present, usually is focal. Differential Diagnosis Asymptomatic nodules on the scalp may present a diagnostic challenge to physicians.

Most common scalp lesions tend to be cystic or lipomatous. In children, a broad differential diagnosis should be considered, including dermoid and epidermoid tumors, dermal sinus tumors, hemangiomas, metastasis of another tumor, aplasia cutis congenita, pilomatricoma, and lipoma.

In adults, the differential should focus on epidermoid cysts, lipomas, metastasis of other tumors, osteomas, arteriovenous fistulae, and heterotopic brain tissue. Often, microscopic examination is necessary, along with additional immunohistochemical staining (eg, EMA, vimentin). Treatment Treatment options for meningioma include observation, surgical resection, radiotherapy, and systemic therapy, as well as a combination of these modalities.

The choice of therapy depends on such variables as patient age; performance status; comorbidities; presence or absence of symptoms (including focal neurologic deficits); and tumor location, size, and grade. It is important to note that there is limited knowledge looking at the results of various treatment modalities, and no consensus approach has been established.

Can benign tumors in scalp hurt?

Description – Pilomatricoma, also known as pilomatrixoma, is a type of noncancerous (benign) skin tumor associated with hair follicles. Hair follicles are specialized structures in the skin where hair growth occurs. Pilomatricomas occur most often on the head or neck, although they can also be found on the arms, torso, or legs.

  • A pilomatricoma feels like a small, hard lump under the skin.
  • This type of tumor grows relatively slowly and usually does not cause pain or other symptoms.
  • Most affected individuals have a single tumor, although rarely multiple pilomatricomas can occur.
  • If a pilomatricoma is removed surgically, it tends not to grow back (recur).

Most pilomatricomas occur in people under the age of 20. However, these tumors can also appear later in life. Almost all pilomatricomas are benign, but a very small percentage are cancerous ( malignant ). Unlike the benign form, the malignant version of this tumor (known as a pilomatrix carcinoma) occurs most often in middle age or late in life.