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Occipital neuralgia

S R Hammond, G Danta

    Clinical and Experimental Neurology
    |January 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Occipital neuralgia, characterized by head pain and nerve tenderness, often presents with migrainous features. This condition warrants greater consideration in head pain differential diagnoses.

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    Area of Science:

    • Neurology
    • Pain Medicine

    Background:

    • Occipital neuralgia is an under-recognized cause of head pain.
    • Standard textbooks and literature offer limited information on this condition.

    Purpose of the Study:

    • To present findings from 23 cases of occipital neuralgia.
    • To discuss the clinical features and potential mechanisms of occipital neuralgia.
    • To advocate for increased consideration of occipital neuralgia in head pain differential diagnoses.

    Main Methods:

    • Case series analysis of 23 patients diagnosed with occipital neuralgia.
    • Clinical feature documentation including pain, sensory changes, and nerve tenderness.
    • Assessment of response to local therapies.
    • Discussion of associated migrainous and trigeminal nerve features.

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    Main Results:

    • Key features include pain and sensory changes in the occipital nerve distribution.
    • Localized tenderness of the nerve trunk is a significant diagnostic indicator.
    • Patients typically show a positive response to local therapeutic interventions.
    • The clinical presentation is frequently complicated by migrainous and trigeminal nerve symptoms.

    Conclusions:

    • Occipital neuralgia presents with distinct clinical features including localized pain, sensory alterations, and tenderness.
    • The condition often co-occurs with migrainous and trigeminal nerve issues, suggesting complex underlying mechanisms.
    • Occipital neuralgia is sufficiently common to merit increased attention in the differential diagnosis of head pain.