Scalp Dysesthesia
A form of localized itching, scalp dysesthesia is an abnormality of the small cutaneous nerves over the head or upper neck. Patients may experience additional sensory symptoms such as tingling, burning, tenderness or pain, but itching is usually the most prominent and often only complaint. There are little-to-no skin changes (other than scratch marks), as symptoms are due to the nerves rather than rash or cutaneous inflammation.
TREATMENT
Management may include symptomatic therapies and/or intervention to the underlying nerves or spine. See below for examples of topical and oral medications, as well as recommended physical therapy exercises. If symptoms persist despite treatment, referral to a neurologist may be warranted or helpful.
- Topical anesthetics
- Topical capsaicin
- Topical corticosteroids
- Oral medications – hydroxyzine, oxcarbazepine, and gabapentin
