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Case Report
Occipital Neuralgia: An Often Missed Cause of Headache
  1. Howard L. Rosner, MD*,
  2. Arthur Schwartz, MD†,
  3. Leonard Brand, MD‡ and
  4. Robert H. Dworkin, PhD§
  1. From the Pain Treatment Service of the Department of Anesthesiology, College of Physicians and Surgeons of Columbia University at Columbia-Presbyterian Medical Center, New York, New York.
  2. * Assistant Professor, Department of Anesthesiology, Assistant Attending Anesthesiologist, Presbyterian Hospital.
  3. † Resident in Anesthesiology, Presbyterian Hospital.
  4. ‡ Professor of Clinical Anesthesiology, Department of Anesthesiology, Attending Anesthesiologist, Presbyterian Hospital.
  5. § Assistant Professor of Clinical Psychology, Departments of Anesthesiology and Psychiatry, Columbia University, College of Physicians and Surgeons.

Abstract

Neuralgic type pain of the occipital nerve is a syndrome of protean etiologies. It can often present in the form of intermittent or chronic headaches masquerading as vascular or tension headaches. In many cases, there is accompanying orbital pain on the ipsilateral side. Local anesthetic infiltration into the area of the emergence of the occipital nerve on the occiput can bring prompt and lasting relief to the sufferer.

  • Neuralgia
  • occipital
  • Headache
  • Anesthesia
  • local

https://doi.org/10.1136/rapm-00115550-198611010-00010

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