The hot sensation in the neck is mainly caused by abnormal nerve sensation in the skin of the neck. Usually, the abnormal nerve sensation may be caused by nerve inflammation in the skin of the neck, which leads to local edema and abnormal nerve sensation, burning sensation or numbness, ant crawling and pulling pain in the neck. In addition, it may also be caused by brain injury or brain tumor compressing brain cells and brain nerve. Brain injury is mostly local direct impact injury, which leads to hedge injury inside the brain, causing contusion or even bleeding of brain cells, affecting the abnormal nerve sensation in the brain and causing such symptoms.