What Causes Tenderness Spot On Left Top Of Scalp?
i have occasional exquisite tenderness to touch on the left top of my scalp - in the rear (occipital). No aura, no nausea, no other symptoms. It lasts for an hour or two then departs. By way of background, I am prettu healthy and do have offasional ocular migraines but there are no occular symptoms with this tenderness. I'm a PA and if this were temporal, I would suspect temporal arteritis.
The underlying cause must be found of ocular migraine.
Detailed Answer:
Hi,
Welcome to health care magic,
Ocular migraine is s disease of eye accompanied by migraine headache due to vascular spasm of affected eye.
The causes or the triggering factors of this type of migraine are stress,insomnia,anxiety,irregular meals,allergy.
To diagnose ocular migraine,your doctor will ask you about your symptoms and examine your eyes. The doctor will try to rule out other problems that could be causing similar effects which might include,
1) Spasms in the artery that supplies the retina with blood,
2) Giant cell arteritis (temporal arteritis) which causes inflammation in blood vessels,
3) Might be related to autoimmune diseases,
4) drug induced like caffeine,
5) very rarely in sickle cell disease and polycythemia,Conditions that encourage abnormal blood clotting.
Treatment is mainly depend on the underlying factor and NSAIDs like ibuprofen,aceclofenac,naproxen etc with some antihypertensive.
You can consult neurologist if the problem persists.
Thanks and Regards,
Dr.SandipKabra