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Tingling / Pressure on Scalp & Face
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Tingling / Pressure on Scalp & Face

Dear Dr.,

I am a 40 year old female who has been experiencing crawling sensations on my scalp for a few months.  These sensations are pretty much constant in that I always have them, but the locations change constantly on my scalp. Sometimes I also have right-sided facial paresthesia.  Other times, if feels as if someone is gently resting his or her hand on my scalp or forehead.  The sensations are limited to my scalp and face only.

I do suffer from migraines.  I have them fairly infrequently now, probably once every three to four months.  However, when I experience one, it’s pretty bad.  I take Imitrex and it works well to abate the migraine.  

My question is whether a migraine could have triggered some sort of aberrant electrical activity in the nerves that innervate my scalp. I liken it to irregular electrical activity of the heart, when someone needs an ablation to correct this condition.  

The funny thing is, if I use my fingers to press firmly on certain pressure points on my scalp and face, the sensations cease immediately.  I am wondering if it’s feasible to inject the scalp with something like lidocaine or xylocaine to stop this cycle.  I feel as though if the cycle can be broken, these symptoms will end. Thanks for your help.

I have had MRI, MRA -- normal results.  Thanks.

ALC
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