What causes tightness and swelling sensations on both sides of the back of the head, and what should be done about it?

Mar 28, 2023 Source: Cainiu Health

Dr. Yang Jun

Introduction

A tight, swollen sensation on both sides at the back of the head may be caused by tension and stress, neck muscle tightness or strain, insufficient cerebral blood supply, hypertension, or intracranial tumors. Emotional tension, anxiety, and stress can lead to tightened neck and scalp muscles, resulting in a feeling of tightness and swelling at the back of the head. It is recommended to relieve stress through activities such as jogging or practicing yoga.

A sensation of tightness or swelling on both sides of the back of the head may be caused by tension and stress, neck muscle tension or strain, insufficient cerebral blood supply, hypertension, or intracranial tumors. Treatment options include medication or surgery. Specific analyses are as follows:

1. Tension and stress: Emotional tension, anxiety, and stress can lead to tightened neck and scalp muscles, causing the aforementioned sensations. It is recommended to relieve stress through activities such as jogging or practicing yoga.

2. Neck muscle tension or strain: Prolonged poor posture or repetitive work or physical activity may cause neck muscle tension or strain. Such muscular issues can result in a tight or swollen feeling at the back of the head. Avoid maintaining the same posture for long periods to prevent muscle tension.

3. Insufficient cerebral blood supply: Inadequate blood flow to the brain may cause symptoms of ischemia and hypoxia, leading to a sensation of tightness and swelling in the occipital region. Medications such as isosorbide mononitrate tablets or clopidogrel hydrogen sulfate tablets may be taken under medical guidance.

4. Hypertension: In patients with high blood pressure, elevated blood pressure levels may cause tightness and swelling in the back of the head, and may even lead to headaches. Antihypertensive medications such as nifedipine tablets or captopril tablets may be used under a doctor's supervision.

5. Intracranial tumor: The presence of an intracranial tumor—such as meningioma or pituitary adenoma—can also cause tightness on both sides of the back of the head. A brain CT scan and other relevant examinations should be performed at a hospital. Surgical removal may be necessary under medical advice if required.

If symptoms persist or worsen, immediate medical attention is recommended.

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Is posterior cerebral infarction serious?

The posterior cerebral infarction is relatively severe. Cerebral infarction refers to dysfunction of brain tissue. Posterior cerebral infarction, also known as posterior circulation infarction, usually occurs within the first 24 hours, with progression typically taking place between 24 to 72 hours. Clinical manifestations include symptoms such as vomiting and coma, along with various complications. Patients need to seek timely medical attention to identify the specific cause and receive appropriate treatment through medication or surgery.