Presentation
Abstract The primary purpose of this case report is to outline the diagnosis, intervention and clinical outcome of a patient presenting with occipital neuralgia. [ncbi.nlm.nih.gov]
[…] guez-Borrego MA 2018 12 Cervical myelitis presenting as occipital neuralgia. ( 29124999 ) Noh S.M....Kang H.G. 2017 13 Modified posterior C1 lateral mass screw insertion for type II odontoid process fractures using intraoperative CT-based spinal navigation [malacards.org]
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]
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]
Musculoskeletal
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Neck Pain
Thus, it appears that subsequent four sessions of DN over two weeks, our patient experienced meaningful improvement in her neck pain and headaches. [ncbi.nlm.nih.gov]
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]
See What Is Causing My Neck Pain and Headache? Occipital neuralgia is characterized by sharp, painful, electric-shock-like sensations on the back of the head, neck, and ears. [spine-health.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]
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Pain In Thoracic Spine
[…] in thoracic spine M54.8 Other dorsalgia M54.81 Occipital neuralgia M54.9 Dorsalgia, unspecified M60.0 Infective myositis M60.00 Infective myositis, unspecified site M60.000 Infective myositis, unspecified right arm M60.001 Infective myositis, unspecified [icd10data.com]
Psychiatrical
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Distractibility
[…] occipital nerve infiltration in the management of occipital neuralgia. ( 25680724 ) Kastler A....Kastler B. 2015 40 Occipital neuralgia secondary to unilateral atlantoaxial osteoarthritis: Case report and review of the literature. ( 26759731 ) 2015 41 Distraction [malacards.org]
Face, Head & Neck
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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]
Some migraines or cluster headaches Spondylosis of the cervical facet joints A tender or painful scalp, which may be a sign of an inflamed nerve The Occipital Nerve Block Procedure The animation below shows an occipital nerve block being done. [cedars-sinai.edu]
Neurologic
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Neuralgia
1 Occipital Neuralgia and Cervicogenic Headache: Diagnosis and Management. ( 30888540 ) 2019 2 Management of Chronic Migraine and Occipital Neuralgia in Post 9/11 Combat Veterans. ( 30690565 ) Williams KA...Coppin JD 2019 3 Benito's neuralgia: the first [malacards.org]
and occipital neuralgia (head/neck pain). [healthresearchfunding.org]
Discussion Several authors have described the clinical syndrome of occipital neuralgia. Occipital neuralgia is not an uncommon cause of protracted or severe intractable headache. [pain-manage.org.tw]
SNOMed Terms: Cervico-occipital neuralgia Cervico-occipital neuralgia (finding) Finding of sensation of musculoskeletal structure of neck Finding of sensation of musculoskeletal structure of neck (finding) Observation of sensation of musculoskeletal structure [medicbind.com]
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Headache
Headache classification Committee of the International Headache Society. Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalalgia 1988;8:61-71 4. Ehni G, Benner B. [pain-manage.org.tw]
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]
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Slurred Speech
Slurred speech. Pain when moving the neck. How Can A Neck Injury Cause Occipital Neuralgia? We have found that most patients who have chronic health problems have pre-existing whiplash type trauma that precedes the onset of health problems. [blairchiropractic.com]
speech Pain when moving the neck Difficulty with balance and coordination Tender scalp Nausea and/or vomiting Causes [ edit ] Occipital neuralgia is caused by damage to the occipital nerves, which can arise from trauma (usually concussive or cervical [en.wikipedia.org]
Additional symptoms of ON include: Light sensitivity Dizziness and lightheadedness Vertigo (a sensation of spinning) Tender scalp Slurred speech Nausea and/or vomiting Tightness and/or stiffness in the neck Dental pain Blurry vision Nasal congestion Tinnitus [verywellhealth.com]
speech Pain when moving the neck Difficulty with balance and coordination Tender scalp Nausea and/or vomiting Diagnosing Occipital Neuralgia: If you think you may have occipital neuralgia, make an appointment with your doctor. [msunites.com]
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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]
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Convulsions
Treatment [ edit ] There are a wide range of non-invasive treatments, including manipulation, physical therapy, rest, heat, anti-inflammatory medication, antidepressants, anti-convulsants, opioid and non-opioid analgesics, ketamine infusion therapy, and [en.wikipedia.org]
Your medication options may include: NSAIDs Antidepressants Anti-convulsant medications Muscle relaxants As BlueCross BlueShield explains, many patients do use medications while employing other treatments. [paindoctor.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 ) 2017 23 Occipital Nerve Stimulation for the Treatment of Refractory Occipital Neuralgia: A Case Series. ( 28634063 ) 2017 24 The treatment of occipital neuralgia: Review of 111 cases. [malacards.org]
Treatments for occipital neuralgia and trigeminal neuralgia Many treatments focus on pain management, although there are surgical treatments that can possibly provide more lasting relief. [paindoctor.com]
Some people may need more aggressive treatments, but surgery is rarely the right treatment option for ON. [verywellhealth.com]
Occipital headaches have a good prognosis and treatments have proved to work in even the severest cases. [bokus.com]
Prognosis
Occipital headaches have a good prognosis and treatments have proved to work in even the severest cases. [bokus.com]
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
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]
The anatomy of the greater occipital nerve: implications for the etiology of migraine headaches. Plast Reconstr Surg. 2004; 113 :693–697. [ PubMed ] [ Google Scholar ] 14. Inan N, Ceyhan A, Inan L, Kavaklioglu O, Alptekin A, Unal N. [ncbi.nlm.nih.gov]
Using “pattern recognition”, many headache etiologies can be quickly identified, and then treated with ultrasound-guided injections that diagnose and treat the underlying condition. [apicareonline.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
Epidemiology of occipital neuralgia. Occipital neuralgia is very uncommon, at least as compared to migraine. [dizziness-and-balance.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 [7]. [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]
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]
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]
Cervicogenic headache: anatomic basis and pathophysiologic mechanisms. Curr Pain Headache Rep. 2001; 5 :382–386. [ PubMed ] [ Google Scholar ] 23. Le Doaré K, Akerman S, Holland PR, Lasalandra MP, Bergerot A, Classey JD, Knight YE, Goadsby PJ. [ncbi.nlm.nih.gov]
Trigeminal autonomic cephalalgias: pathophysiology and classification. Rev Neurol (Paris) 2005;161:692-695. [ Links ] 16. Ambrosini A, Vandenheede M, Rossi P, et al. [scielo.br]
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]
Nerve block injections may help to prevent pain associated with ON. A physical therapist can teach individuals exercises to help prevent occurrences and for getting through painful and symptomatic episodes of ON. [verywellhealth.com]
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]