This post is a response by a doctor to a question one of our community members asked.
About a year ago I started having sharp pains on top of my head, they would move to different spots. At first it hurt a lot and it was located in the middle of my skull a bit to the left. After a few months the pain would localize in about one area a bit to the right of the top of my skull and come and go, but the pain was not bad. Sometimes it would move to the back of my head but not often.
I thought there was a bump on my scalp so I.had my daughter check it out. She saw something like a pus pimple in the area a bit to the right of the middle of my skull. It was then that I discovered a dent in my skull.
I went to the dermatologist because at the time I had a few red dots and small sores on my body and the dermatologist said it was scabbies which was later proved wrong. It was a very light case of morgellons disease .Any way I am telling the whole story in case there is a link. The indentation is in the middle of my scalp a bit to the right and is about 3 inches long and a few inches back from my front hair line. Sometimes it hurts a little but not like when I first felt the hurt over a year ago. Should I have an MRI. Any help would be much appreciated Blessings… Daisy
Dr Alejandro’s reply:
I don’t think there is a link between your previous symptoms and your skull indentation. However, this finding is not normal, and it does have to be studied.
There are multiple causes of dents of the skull. The most common cause of skull dents is traumatic injuries to the head, which then results in a depressed skull fracture, pushing fragments of bone against the brain. This is can be easily ruled out if you haven’t had any recent trauma to the head.
Hypervitaminosis A (excess blood levels of vitamin A, or vitamin A toxicity) is another cause of skull indentation. However, this is a common cause in children, and only a few cases have been described in adults, due to a high consumption of vitamin A.
Another cause of dents of the skull are destructive bone lesions (medically known as osteolytic lesions). This can be caused as a consequence of growth of some kind of tumors (bone or soft tissue tumors, both benign or malignant), infections (meningitis, bone infections and in rare cases skin infections) or a disease known as Gorham’s disease, a rare idiopathic disorder (meaning the cause is not known) in which one or several bones are destroyed and replaced by connective (collagen) and vascular (blood vessels) tissue. Nevertheless, in some cases, a skull dent is just a normal asymmetry of the skull with no evident cause.
I do recommend you have an assessment with your primary care physician (although it is possible that you need to see a neurosurgeon to have a proper assessment) to decide the best way to approach your problem. I suggest a computed tomography (CT) of the head as the first step, as this study is the best way to evaluate your skull and the plausible cause of your skull dent.