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Date of last update: 10/04/2017.

Forum Name: Headaches

Question: pain in scalp

 future rn - Mon Jul 25, 2005 10:00 pm

My husband has been experiencing pain on the inside of his scalp. The pain is not constant and occurs mostly when he moves his head - the pain is on the inside of the right side of his scalp. If you press on the area it does not hurt - but if you brush lightly over his hair it is very painful (liike when he puts on his baseball cap). When we looked at his scalp, it was slightly indented in the painful area - don't know if it has always been this way. He has had the pain for about a week and about the same time he had a very bad toothache - could this be related? He is not on any medication, It is very weird - Thanks for your help - I hope I gave you enough info.
 Dr. Wafaa Abdel-Hadi - Wed Jul 27, 2005 11:16 am

Dear future rn,

Your husband is suffering from something called Temporal (Giant cell) arteritis. It's a systemic vasculitic diease(inflammation in the arterial vessels) ...Usually starts as you've described your husband's symptoms and it gets elicited by combing the hair. It affects the jaw as well in the form of claudications,sometimes associated by headaches,mailaise,fatigue ,visual disturbances,etc.

Temporal artery biopsy is the criterion standard for diagnosing temporal arteritis. This procedure may be performed by ophthalmologists, general surgeons, head and neck surgeons, plastic or vascular surgeons, or dermatologic surgeons. With a positive predictive value of greater than 90%, temporal artery biopsy stands out as the definitive test for temporal arteritis.

He will be treated as an autoimmune disease...and should be treated for as soon as possible after obtaining the biopsy result, because it can lead to damage of his temporal artery and progression of the disease into other atreries,hence it's a systemic vasculitis disease. But once he's under treatment ,he will be more comfortable and controlled. All he'll be needing is follow up as with any other simple diseases,

Best regards,
 worrier - Mon Aug 08, 2005 11:38 am

Please help i have been suffering with anxiety for a year now. I am constantly worrying about my health. I have had a very tight scalp, constantly for the past week. Every so often i get the sensation of a rubber band snapping on my scalp?? It really scares me do you know what this is??? Also, the artery in front of my left ear is raised and i had a big twitch in it earlierfelt like blood bursting through too hard!!! Please let me know what you think this is?

Thank you :cry:

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