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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Painful Knots At The Base Of The Skull?

my son has a knot on lower bank of head. Doctor told use its was due to an old injury and nothing to be worried about. However, he has consistantly conplained of headaches and feeling dizzy. what is the calicum buildup and what can be done to help with the pain he is going through. We can actually feel the knots in the back of his head and it hurts to even touch aswell.
Mon, 19 Oct 2015
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General Surgeon 's  Response
HI,Welcome to HCM.
Based on the facts of your query,Your son seem to have Chronic SOL with old head injury.The consistent pain with headache and dizzy feeling,needs one to rule out the Chronic SOL./ or could be due to infected hematoma with calcification of the resolving hematoma-this is what is calcium build up.
A simple antibiotic /painkiller treat would help your son.If no relief, get CT skull and USG,if infected hematoma-Simple Wide bore Needle Aspiration would help to relieve this son.
But as dizzinees is associated possibility of Chr SOL needs to be ruled and if found would need Burrhole decompression for the Cerebral Compression with Intracranial hypertension associated with Chronic SOL(Space Occupying Lesion) of the skull.
Hence I would suggest to -
Get Second opinion from Surgeon,who would physically check and if need be get USG done to find out the cause of this swelling near back of head.This would give you the best lead to treat it by medicines or by surgical intervention as suggested from expert-Surgeon.
CT Skull would resolve the issue of ambiguity in causes of this knot at the base of the skull.

Hope this reply would help you to know what you should do? in your case,in the best possible way.
Welcome for any further query in this regard

Will appreciate writing your feedback review comments,to help the needy patients like you at HCM.

Good Day!!
     
Dr.Savaskar,
Senior Surgical Specialist
M.S.Genl-CVTS
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What Causes Painful Knots At The Base Of The Skull?

HI,Welcome to HCM. Based on the facts of your query,Your son seem to have Chronic SOL with old head injury.The consistent pain with headache and dizzy feeling,needs one to rule out the Chronic SOL./ or could be due to infected hematoma with calcification of the resolving hematoma-this is what is calcium build up. A simple antibiotic /painkiller treat would help your son.If no relief, get CT skull and USG,if infected hematoma-Simple Wide bore Needle Aspiration would help to relieve this son. But as dizzinees is associated possibility of Chr SOL needs to be ruled and if found would need Burrhole decompression for the Cerebral Compression with Intracranial hypertension associated with Chronic SOL(Space Occupying Lesion) of the skull. Hence I would suggest to - Get Second opinion from Surgeon,who would physically check and if need be get USG done to find out the cause of this swelling near back of head.This would give you the best lead to treat it by medicines or by surgical intervention as suggested from expert-Surgeon. CT Skull would resolve the issue of ambiguity in causes of this knot at the base of the skull. Hope this reply would help you to know what you should do? in your case,in the best possible way. Welcome for any further query in this regard Will appreciate writing your feedback review comments,to help the needy patients like you at HCM. Good Day!! Dr.Savaskar, Senior Surgical Specialist M.S.Genl-CVTS