Pain in the crown occurs with disorders of cerebral circulation, intracranial hypertension, meningitis, encephalitis, arachnoiditis, traumatic injuries of the head and neck, otolaryngological diseases, their intracranial complications. It is observed with muscle lesions, diseases of the spine, infections, intoxications, vegetative-vascular, neurotic disorders. More often pressing or bursting, it can be pulsating, twitching, aching. It is diagnosed on the basis of complaints, anamnesis data, general examination, otolaryngological and neurological examination, additional methods. Painkillers, NSAIDs, antibiotics, nootropics, neurometabolites, and other agents are used for treatment.
Pain can occur the next morning after alcohol abuse, against the background of overwork, excessive physical exertion. In some people with weather dependence, pain when the weather changes is localized precisely in the parietal zone, although other options are possible (whiskey, back of the head, whole head). Sometimes the symptom is triggered by stress. A fairly typical situation is pain in the crown of the head during overheating, prolonged exposure to the sun without a hat.
The symptom develops with transient disorders of cerebral circulation, pre-stroke conditions. Characterized by a sudden onset, a rapid deterioration in well-being. Blurred vision, weakness, nausea, sometimes vomiting, short-term disturbances of consciousness are observed. The list of possible vegetative-vascular reactions includes sweating, hot flashes, feeling hot or chills, trembling throughout the body.
Focal signs are determined by the topic. The duration of the attack ranges from several minutes to several hours. With PNMC, all manifestations completely disappear within 24 hours. In a pre-stroke state, further aggravation of cerebral and neurological symptoms, transformation into a hemorrhagic or ischemic stroke is possible.
Symmetrical pain in the crown, forehead area is a characteristic manifestation of intracranial hypertension. The type of pain is determined by the rate of progression of liquorodynamic disorders. A rapidly developing disorder is manifested by an intense, rapidly increasing pain syndrome. Chronic pathology is accompanied by constant dull pain. In some patients, symptoms wax and wane.
With meningococcal meningitis, painful sensations are excruciating, throbbing, pressing or bursting, with a maximum in the forehead and crown. There is an increase under the action of stimuli (light, sounds), a change in the position of the head, at night. With other types of meningitis, pain often bothers in the occipital zone, from where it spreads to the crown of the head, other parts of the head. There are chills, fever, nausea, vomiting, lethargy, fatigue, positive meningeal symptoms.
Increasing headache is also noted with encephalitis. In patients with arachnoiditis, pain is bursting, of moderate intensity, aggravated by physical exertion, straining, coughing, in the morning. Communication with an increase in intracranial pressure causes predominantly parietal localization, a feeling of pressure on the eyes. Liquorodynamic crises are possible with a sharp increase in pain, the addition of dizziness, nausea, and vomiting.
Pain in the crown
The most mild injury is a contusion of the crown. The pains are moderate, local, their intensity decreases rapidly. With a hematoma, a limited swelling is formed with a site of fluctuation, which then either resolves within a few weeks, or needs to be opened. Fractures of the cranial vault are also accompanied by the formation of a hematoma, but with them the pain is sharp, explosive, not subsiding over time, spreading to the entire head. An impression may be felt. The general condition is variable - from satisfactory well-being to shock or coma.
Pain in the crown can also be manifested by injuries of the upper cervical vertebrae. The symptom is most pronounced in damage to C2, observed in fractures, fracture-dislocations, subluxations, displacement of the vertebrae, including as a result of whiplash. Restrictions of movements, soreness of the neck are noted, neurological disorders are possible (numbness, weakness of the limbs, impaired pelvic functions).
The symptom is quite widespread in diseases of the paranasal sinuses, nose, ear and complications of these pathologies. It has a predominantly radiating character, complemented by pain in the projection of the forehead or ear. It is observed in the following diseases:
Rhinogenic and otogenic intracranial complications are accompanied by pain in the fronto-parietal region against the background of increased intracranial pressure. They are provoked by acute and chronic otitis media, epi- and mesotympanitis, purulent labyrinthitis. Other possible causes include respiratory infections with the development of acute forms of rhinitis, sinusitis or exacerbation of chronic pathologies, trauma, boils and carbuncles of the nose, abscesses of the nasal septum.
With the spread of infection, arachnoiditis, meningitis, brain abscesses are observed. With sinusitis, thrombosis of the cavernous sinus is possible. The clinical picture is determined by the nature of the complication. Common manifestations, along with pain, are intoxication, vestibular disorders, insomnia, irritability, visual disturbances, a feeling of pressure from the inside on the eyes.
Pain in the crown of the head often occurs with radicular syndrome caused by pathologies of the cervical spine, combined with hypesthesia of the skin of the occipital region, limiting tilts and turns of the head. The most common cause is osteochondrosis. The likelihood of pain syndrome increases with the formation of a hernia. In addition, compression of the roots can be observed in spondylosis, spondylarthrosis.
With myositis of the cervical muscles, pain first appears in the neck, and from there it spreads to the back of the head, crown, and upper back. There is an increase in pain during movement. Another possible cause is myalgia due to muscle strain during prolonged driving, working at a computer or sewing machine.
Other pathological conditions that can cause crown pain include:
The cause of the symptom is determined by the neurologist. If you suspect a disease of the ear, nose, paranasal sinuses, the patient is referred to an otolaryngologist. According to indications, consultations of an infectious disease specialist, a traumatologist, a psychotherapist, and other specialists are prescribed. The doctor collects an anamnesis of life and disease, conducts an external examination to identify possible changes (for example, wounds, hematomas). To clarify the diagnosis are assigned:
Head injury treatment
Therapeutic tactics is determined by the nature of the pathology that provoked the appearance of the symptom:
Patients with pain in the crown perform the following surgical interventions: