Hi, Thanks for writing in. Having a puffy swelling or indentation in the crown that is tender requires clinical examination. Please consult your doctor and know if it is a mild infection as it is tender or something that need detailed evaluation. Pagets disease is a condition that evolves over time and unlikely to present acutely. Since you also have a migraine, it will help to do a MRI scan of brain and cervical spine should your symptoms be of a severe nature. The nerve damage in the neck region that you have mentioned needs a little more detail. Since you say nerves are damages, the cause of such damage and its location is important to guide your treatment. In the next few days please schedule an appointment with your neurologist. Please do not worry.