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Brain & Nervous System Disorders Message Board

Brain & Nervous System Disorders Board Index

Update, All tests were neg, and here is what my Dr told me, so I am on some med and we will see how it goes.

Good luck to all.

Pain Syndromes: Occipital Neuralgia

Occipital Neuralgia is pain located in the cervical (neck) and posterior (back) regions of the head (these are the occipital areas). This pain may or may not extend or radiate into the sides of the head ultimately, into the facial and frontal regions. Occipital neuralgia is really two separate disorders with similar symptoms: lesser occipital nerve neuralgia and greater occipital neuralgia. This disorder often occurs after a whiplash injury, a blow to the back of the head, or an injury that produces a twisting of the head.
Signs + Symptoms:

-Lesser-pain from base of skull near mastoid process radiating to area of skin over ear and lower temple

-Greater-pain from base of skull near midline toward vertex and across top of hemisphere toward frontal areas

-Pain is usually intermitted and frequently has a sharp quality

-Often tenderness of nerve and/or muscle is found at the nuchal line

Neuralgia can be extremely painful, and there are several approaches. In general a "holistic" approach is required, combining several classes of drugs.

-Oral medications for pain

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