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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Two Painful Lumps On The Scalp?

What would cause partial numbness on the right side of the scalp coupled with some on the right cheekbone. There are also two small masses one on the top portion of the scalp with the later being present on the left side of the neck. The other conundrum is an intensifying of migraine headaches. Any ideas on this perculiar array of symptoms? Thank you for your input and guidance.
Wed, 22 Mar 2017
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history and understood your concerns.
The complex of your symptoms that you have mentioned, seems to be due to the following problems:
- The partial numbness on right side of scalp and face may be due to trigeminal neuralgia, the migraine may actually be a trigeminal neuralgia.
- The lumps usually on hte scalp are sebaceous cysts.
- The lump on the neck on the other side is most probably due to lymph node enlargement.
I would advise you the following:
Get a clinical evaluation by a General Surgeon and get operated for the swelling on the scalp.
MRI for the trigeminal nerve particularly for arterial loop.
Once diagnosed, to get appropriated treatment.
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General Surgeon,  Dr. Arvind Guru's  Response
Hi
Welcome to our website.

From your description, the patient could be suffering from a
a pathology involving the Trigeminal Nerve especially at base of skull. The small lumps can be lymph nodes .

I would suggest a through oral cavity exam including parotid gland. General physical exam esp to look for other lymph nodes

The lumps can undergo testing by needle aspiration (FNAC)
Baseline blood investigation including peripheral smear.

Followed by CECT - Head and neck.

You can follow up with those reports.

Hope that helps.
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What Causes Two Painful Lumps On The Scalp?

Hi. Thanks for your query. Noted the history and understood your concerns. The complex of your symptoms that you have mentioned, seems to be due to the following problems: - The partial numbness on right side of scalp and face may be due to trigeminal neuralgia, the migraine may actually be a trigeminal neuralgia. - The lumps usually on hte scalp are sebaceous cysts. - The lump on the neck on the other side is most probably due to lymph node enlargement. I would advise you the following: Get a clinical evaluation by a General Surgeon and get operated for the swelling on the scalp. MRI for the trigeminal nerve particularly for arterial loop. Once diagnosed, to get appropriated treatment.