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Cervico-Occipital Neuralgia

Neuralgia Occipital


Presentation

  • J Neurol 2002 ; 249 ( 10 ): 1464 – 5 . 7 Greater occipital neuralgia: An unusual presenting feature of neurosyphilis . Headache 1987 ; 27 : 552 – 4 . 8 C2 myelitis presenting with neuralgiform occipital pain .[academic.oup.com]
  • Transcutaneous Electrical Nerve Stimulation in Treatment of Occipital Neuralgia: A Case Report. ( 29634576 ) Ghaly R.F....Knezevic N.N. 2018 8 Occipital Neuralgia from C2 Cavernous Malformation. ( 29682056 ) Ha S.W....Son B.C. 2018 9 Cervical myelitis presenting[malacards.org]
  • The foremost clinicians in each area will review in a very focused way the diagnostic and management issues for the most important and challenging disorders that present with frequent headache.[books.google.com]
  • Smith DL, Lucas LM, Kumar KL (1987) Greater occipital neuralgia: an unusual presenting feature of neurosyphilis. Headache 27: 552–554 PubMed Google Scholar 12.[link.springer.com]
  • Symptoms Pain in the distribution of the greater, lesser, and or third occipital nerves (Greater occipital nerve involvement on one side is most common presentation). Attacks are episodic and last a few seconds to minutes.[americanmigrainefoundation.org]
Neck Pain
  • Occipital Neuralgia Symptoms: Neck Pain Pain in the neck can be more than just a hassle. Neck pain can come from disorders and diseases of any structure in the neck.[medicinenet.com]
  • One may also experience aching or burning, bilateral pain in the head, pain in the eye, neck pain, light sensitivity and a tender scalp.[columbianeurosurgery.org]
  • You can find some of the best neck pillows in our post “ 21 Of The Best Pillows For Neck Pain .” 7. Practice yoga for occipital neuralgia pain For pain associated with the occipital nerve, yoga could help.[paindoctor.com]
  • pain) ICD-10-CM M54.81 is grouped within Diagnostic Related Group(s) (MS-DRG v 36.0): 551 Medical back problems with mcc 552 Medical back problems without mcc Convert M54.81 to ICD-9-CM Code History 2016 (effective 10/1/2015) : New code (first year of[icd10data.com]
Tenderness of the Scalp
  • Some people may also have pain in forehead, scalp, and behind eyes and there maybe tenderness in the scalp and eyes become sensitive to light.[epainassist.com]
Distractibility
  • […] infiltration in the management of occipital neuralgia. ( 25680724 ) Kastler A....Kastler B. 2015 37 Occipital neuralgia secondary to unilateral atlantoaxial osteoarthritis: Case report and review of the literature. ( 26759731 ) Guha D....Shamji M.F. 2015 38 Distraction[malacards.org]
Neuralgia
  • […] of occipital neuralgia: Review of 111 cases. ( 27546882 ) Finiels P.J....Batifol D. 2016 22 Cervical Myelitis Presenting as Occipital Neuralgia. ( 28025377 ) He M....Yu S. 2016 23 A case of occipital neuralgia in a vemurafenib-treated melanoma patient[malacards.org]
  • Classification and Types of Occipital Neuralgia or C2 Neuralgia There Are Two Major Types of Occipital Neuralgia or C2 Neuralgia: Greater Occipital Neuralgia : Greater occipital neuralgia is a common type of posttraumatic headache , but is also seen in[epainassist.com]
  • Overview: Occipital neuralgia, also known as C2 neuralgia or, rarely, Arnold’s neuralgia , is a medical condition characterized by chronic pain in the upper neck, back of the head and behind the eyes.[msunites.com]
  • What is occipital neuralgia? Occipital neuralgia is a form of headache that causes pain along the upper neck and back of the head.[medicinenet.com]
Headache
  • The purpose of Chronic Daily Headache for Clinicians is to provide a practical guide for clinicians to both understand and manage patients with frequent headache.[books.google.com]
  • This book covers all you need to know in order to understand: The causes and treatment approaches for the various different types of headaches including migraines, tension headaches, cluster headaches Different types of neuralgias including Trigeminal[bokus.com]
  • "We see these headache patients all the time. We have a high degree of success treating them.[birminghammedicalnews.com]
Neck Stiffness
  • There are many causes of headaches, whether it be neck stiffness, trauma to the head such as concussion or such things as a disease.[osteo.co.uk]
  • "Red flags" Sudden onset of a new severe headache; A worsening pattern of a pre-existing headache in the absence of obvious predisposing factors; Headache associated with fever, neck stiff ness, skin rash, and with a history of cancer, HIV, or other systemic[physio-pedia.com]

Workup

  • Which is why Parker stressed the need for a medical workup first to eliminate any causes that require medical procedures first, such as tumors, vascular diseases, or infections. "And then they need to come see us," he added.[birminghammedicalnews.com]
  • Key points • For several cranial neuralgias, the diagnostic workup should include structural imaging with MRI with and without contrast to evaluate for evidence of inflammation or space-taking lesions, vascular imaging consisting of either MRA or CTA[medlink.com]

Treatment

  • […] of occipital neuralgia for nonsurgical candidates. ( 28517492 ) Denton T.R....Spalding A.C. 2017 20 Occipital Nerve Stimulation for the Treatment of Refractory Occipital Neuralgia: A Case Series. ( 28634063 ) Keifer O.P....Boulis N.M. 2017 21 The treatment[malacards.org]
  • Occipital headaches have a good prognosis and treatments have proved to work in even the severest cases.[bokus.com]
  • Drugs.com lists and reviews the medications that are related to treatment.[paindoctor.com]
  • Extreme Treatments: More extreme treatments, such as surgical treatments, carry higher risks, so it’s important to have a solid diagnosis before pursuing a surgical procedure.[msunites.com]

Prognosis

  • Occipital headaches have a good prognosis and treatments have proved to work in even the severest cases.[bokus.com]
  • Ongoing physical therapy may be recommended. ‚ Prognosis Many patients with ON will improve with general care with heat or cold, rest, anti-inflammatory medications, and muscle relaxants.[doctor123.org]
  • Group II is typically a painful postganglionic Homer syndrome with a self-limited course and excellent prognosis ( Salvesen 1999 ). Burning mouth syndrome.[medlink.com]

Etiology

  • Whiplash and posterior cranial trauma are considered risk factors for ON. ‚ General Prevention As the etiology is unknown in many cases, there are no specific prevention strategies available.[doctor123.org]
  • Evans RW, Garibay A, Foroozan R Etiology and Treatment Modalities of Occipital Artery Aneurysms.[medicbind.com]
  • Etiology It is usually idiopathic in nature.[practicalpainmanagement.com]
  • Metabolic etiologies including osteomalacia, gout, pseudogout, Paget’s disease and hemachromatosis are less common causes of neck pain.[practicalneurology.com]
  • Etiology .— Predisposing Causes .—Neuralgia is a disease of middle life, being very rare in children or persons of extreme age, and occurs in men more frequently than in women, though females of a neurotic temperament are quite often affected.[henriettes-herb.com]

Epidemiology

  • […] para ON must be distinguished from occipital referral of pain from the C1, C2, or upper facet joints or from tender trigger points in neck muscles or their insertions. ‚ Epidemiology Incidence Estimated to be 3.2/100,000 per year (1)[C] ‚ Prevalence Unknown[doctor123.org]
  • Epidemiology of occipital neuralgia. Occipital neuralgia is very uncommon, at least as compared to migraine.[dizziness-and-balance.com]
  • Further discussion focuses on associated disorders including whiplash associated disorders, a common cause of cervicogenic headache and the largest cause of disability after motor vehicle accidents for employees with neck pain. 2 Epidemiology, Classification[practicalneurology.com]
  • Epidemiology/Etiology Of all chronic headaches , the incidence of cervicogenic headache has been estimated to be 14-18%, though in a recent population-based study a 2.2% prevalence was found [6] .[physio-pedia.com]
  • Vaga study of headache epidemiology. Cephalalgia. 2005;25(4):296-304. [PubMed] [Free full text] Andersen NB, Bovim G, Sjaastad O. The frontotemporal peripheral nerves.[apicareonline.com]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology of Occipital Neuralgia or C2 Neuralgia The pathophysiology of Occipital Neuralgia or C2 Neuralgia is unknown although it may by secondary to whiplash injuries as well as systemic or local diseases.[epainassist.com]
  • So rather than performing destructive procedures such as cutting the nerve which leads to numbness, this new innovative procedure addresses the underlying pathophysiology and removes whatever may be pressing on the C-2 nerve root.[drjho.com]
  • […] distinguished from occipital referral of pain from the C1, C2, or upper facet joints or from tender trigger points in neck muscles or their insertions. ‚ Epidemiology Incidence Estimated to be 3.2/100,000 per year (1)[C] ‚ Prevalence Unknown ‚ Etiology and Pathophysiology[doctor123.org]
  • Since occipital neuralgia is pathophysiologically seen as a cervico-occipito-trigeminal complex, C2 spinal ganglion block therefore is an effective interventional procedure to differentiate the complicated causes of occipital pain including C1-C3 root[pain-manage.org.tw]
  • […] discussion focuses on associated disorders including whiplash associated disorders, a common cause of cervicogenic headache and the largest cause of disability after motor vehicle accidents for employees with neck pain. 2 Epidemiology, Classification, and Pathophysiology[practicalneurology.com]

Prevention

  • Treatable - 0% Emergent - ED Care Needed - Preventable/Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary[medicbind.com]
  • Whiplash and posterior cranial trauma are considered risk factors for ON. ‚ General Prevention As the etiology is unknown in many cases, there are no specific prevention strategies available.[doctor123.org]
  • Can occipital neuralgia headache be prevented? In many cases, the cause of occipital neuralgia is not found so it's difficult to determine how to prevent this condition.[medicinenet.com]
  • Antiepileptic drugs (such as carbamazepine, gabapentin, and pregabalin), and tricyclic antidepressants are often used as preventative medications in an effort to decrease the frequency and severity of attacks.[americanmigrainefoundation.org]
  • And if the spinal column spontaneously fuses, physical therapy can help prevent it from fusing in a flexed posture. Physical Therapists Search for Cause of Pain and Teach Imagine you have back pain.[birminghammedicalnews.com]

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