When a cat presses its head against you, it’s usually a sign of affection or territory marking. However, if your cat is persistently pressing its head against a wall or other objects, this could be a sign of a neurological issue, so it’s important to distinguish between the two.

| Item | Head bump (normal rubbing) | Head pressing (warning sign) |
|---|---|---|
| Posture | Tail up, gently rubbing cheek and forehead | Pressing head hard against a wall or furniture and not moving |
| Gaze & expression | Relaxed, half-closed eyes | Blank or unfocused eyes |
| Responsiveness | Responds immediately when called | Dull response even when called |
| Accompanying symptoms | None (healthy state) | Circling, seizures (convulsions), reduced vision, reduced appetite, altered mental status |
| Duration | A few seconds to a brief interaction | Lasting several minutes to tens of minutes |
| Meaning | Affection & territorial marking | Possible central nervous system abnormality, such as in the forebrain |
Go to the Vet Immediately If You See These Signs
If your cat presses its head against a wall corner or furniture and remains still, head pressing is suspected. This is especially concerning if accompanied by circling gait, abnormal eye focus or vision loss, seizures, unusual vocalizations, a sudden drop in appetite, or a dull, confused mental state, as these may indicate central nervous system disorders such as forebrain disease. Veterinary emergency and critical care textbooks describe circling, seizures, cortical blindness, and changes in behavior and mental status as hallmark signs of forebrain disease, and note that hypertensive encephalopathy can cause abnormal mental status, blindness, and difficulty standing. If you observe these neurological signs, do not wait 24 hours; immediately take your cat to a 24-hour veterinary hospital for a thorough neurological evaluation.


Feline Neurological Disorders: Pay Extra Attention to These Breeds
Cats can be affected by a variety of neurological disorders, and certain hereditary neurological conditions have been reported in specific breeds. Textbooks list examples of feline hereditary neurological diseases that are inherited in an autosomal recessive pattern, such as congenital myasthenic syndrome in Devon Rex and Sphynx cats, craniofacial defects in Burmese cats, and gangliosidosis in Korat and Burmese cats. Therefore, if a cat of one of these breeds or with a family history of neurological disease exhibits neurological signs such as head pressing, more proactive diagnostic testing is necessary. Additionally, hypertensive encephalopathy can cause abnormal mental status, blindness, and difficulty standing; thus, if you observe rubbing or changes in mental state in an older cat, it is advisable to monitor them more closely than usual and have them undergo a veterinary examination that includes blood pressure measurement.

A veterinarian who majored in veterinary medicine at Khon Kaen University, Thailand, and completed the IVSA program at North Carolina State University in the United States. Drawing on clinical experience at animal hospitals, he works in the pet healthcare field and is dedicated to building a digital care environment that connects pet parents with veterinarians.
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[1] Ettinger, S.J., Feldman, E.C., Cote, E. Textbook of Veterinary Internal Medicine, 8th Ed — Chapter on Neurologic Examination
[2] Bradshaw, J.W.S. Cat Sense: How the New Feline Science Can Make You a Better Friend to Your Pet, 2013
[3] Platt, S.R., Olby, N.J. BSAVA Manual of Canine and Feline Neurology, 4th Ed