Numbness After Scalp Cyst Removal

Question

Why I Still Feel Numbness After the Cyst Removal on my Scalp? The Surgery Was Done More Than Seven Days Ago.

Lewis Albert Andres, MD · Answer

Hello!  Thank you for your question!  Numbness after any surgical 
procedure is expected for several weeks to months following.  As the 
nerves to the area are traumatized and will then experience a temporary 
neuropraxia, a transient loss of nerve conduction.  This usually 
resolves over the next 6-12 weeks, but depending on the procedure 
performed, sometimes much longer.  Typically this should resolve by 1 
year.  As it goes past this date, the likelihood of the sensation 
returning is small.  However, it can take up to 2 years.  If no return 
from there, it is unlikely to return.  It should be discussed that 
persistent sensory changes may develop following any surgical 
procedure.  The usual signs of the nerves regenerating and neuropraxia
 resolving is itching, followed by a burning sensation and then 
occasional sharp, shock-like pains.  These will be normal to experience,
 and actually a promising sign.  Usually, normal sensation returns, but 
is is also possible to have decreased sensation or even increased 
sensation to the areas affected.  Re-educating nerves postoperatively is
 often helpful and will allow proper instruction for the affected 
sensory nerves - methods include using different textures to the 
affected areas when showering, bathing, applying lotion, etc.  If 
bothersome, there are some medications that may be helpful, including 
Neurontin for pain for hypersensitivity.  You can try various textures 
such as washcloths, loofahs, cotton sheets, etc.  Massaging the areas is
 also beneficial for the incision to make the finest scar possible.  The
 last place to regain the sensation will be directly adjacent to the 
incision/scar as the nerves will make its way from the periphery to this
 location.  If continual pain arises, evaluation is warranted.  After 
ruling out other causes, one rare explanation may be that a neuroma has 
developed and may require surgical excision.  This is very unlikely 
unless a large sensory nerve has been transected inadvertently during 
the procedure.  Hope that this helps!  Best wishes!

Ron Shelton, MD · Answer

Cysts can be deep and at the upper forehead to the front of the scalp, nerve endings become superficial. Removing the skin growth must involve cutting through the skin and the nerve endings must regenerate. They heal slowly and sometimes not for months or longer. There may be very slow recovery with tingling or crawling or jabbing sensations as it heals. Usually it gradually returns to normal or close to normal over weeks to months.

Jo Herzog, MD · Answer

Loss of sensation after removal of a large deep lesion is not uncommon. Sometimes it takes months for feeling to return. Much less often it can be permanent. You have to give it time.

Madeline Krauss, MD · Answer

Numbness can  take weeks to months to resolve post any excision.  There rare cases where a numb area may persist permanently, but it is certainly too soon to tell for you.  Most likely sensation will slowly return over the next few weeks.  If you have any muscle weakness in the neck or shoulder, be sure to tell your surgeon.

	You will likely be going back in for suture removal, so mention your concerns at that time to the medical staff.

Numbness After Scalp Cyst Removal

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Answer: Numbness post scalp surgery

Answer: Numbness post scalp surgery

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Numbness After Scalp Cyst Removal

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Answer: Numbness post scalp surgery

Answer: Numbness post scalp surgery

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