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Updated: May 31, 2026

Minimally Invasive Surgical Decompression of Occipital Nerves
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Published on: September 13, 2024

Occipital condyle syndrome: self diagnosed.

Manoj Kumar Saraswat1, Ranjit W Perera, Ian Renwick

  • 1Department of Geriatric Medicine, Scarborough General Hospital, Scarborough YO12 6QL, UK.

BMJ Case Reports
|June 21, 2011
PubMed
Summary

A 71-year-old man with occipital headache and hypoglossal palsy was diagnosed with metastatic prostate cancer. Treatment with dexamethasone and leuprorelin stabilized his symptoms.

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Area of Science:

  • Neurology
  • Oncology
  • Otolaryngology

Background:

  • Occipital condyle syndrome can present with neurological deficits.
  • Metastatic prostate cancer can rarely manifest with cranial nerve palsies.

Purpose of the Study:

  • To report a rare case of unilateral lower motor neuron hypoglossal palsy secondary to metastatic prostate cancer.
  • To highlight the diagnostic challenges and successful management of such a presentation.

Main Methods:

  • Case presentation of a 71-year-old male patient.
  • Clinical examination revealing unilateral hypoglossal palsy and occipital headache.
  • Diagnostic workup including imaging and laboratory tests to identify metastatic disease.

Main Results:

  • Diagnosis of prostatic carcinoma with widespread bone metastasis, including the skull base.
  • Significant improvement in headache and stabilization of tongue deviation after treatment.
  • Positive response to dexamethasone and leuprorelin therapy.

Conclusions:

  • Metastatic prostate cancer should be considered in the differential diagnosis of occipital condyle syndrome and hypoglossal palsy.
  • Multidisciplinary management involving oncology and neurology is crucial for optimal outcomes.
  • Hormonal therapy and corticosteroids can effectively manage neurological symptoms in advanced prostate cancer.