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Occipital Neuralgia as the Only Presenting Symptom of Foramen Magnum Meningioma

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Background Occipital neuralgia (ON) is a condition characterized by a paroxysmal stabbing pain in the area of the greater or lesser occipital nerves; it is usually regarded by clinicians as idiopathic. Some have suggested that ON can be induced by trauma or injury of the occipital nerves or their roots, but tumor has rarely been reported as a cause of ON. Case Report We report herein a case of foramen magnum meningioma in a 55-year-old woman who presented with ON triggered by head motion as the only symptom without any signs of myelopathy. Conclusions This case indicates that it is important to consider the underlying causes of ON. Precise neurologic and radiological evaluations such as cervical spine magnetic resonance imaging are needed.

Abstract

Background Occipital neuralgia (ON) is a condition characterized by a paroxysmal stabbing pain in the area of the greater or lesser occipital nerves; it is usually regarded by clinicians as idiopathic. Some have suggested that ON can be induced by trauma or injury of the occipital nerves or their roots, but tumor has rarely been reported as a cause of ON. Case Report We report herein a case of foramen magnum meningioma in a 55-year-old woman who presented with ON triggered by head motion as the only symptom without any signs of myelopathy. Conclusions This case indicates that it is important to consider the underlying causes of ON. Precise neurologic and radiological evaluations such as cervical spine magnetic resonance imaging are needed.

참고문헌 (7)

  1. Headache Classification Subcommittee of the International Headache Society, "The International Classification of Headache Disorders: 2nd edition", Cephalalgia, 24(1), pp.9~160 (2004)
  2. Hammond SR, "Occipital neuralgia", Clin Exp Neurol, 15, pp.258~270 (1978)
  3. Boes CJ, "C2 myelitis presenting with neuralgiform occipital pain", Neurology, 64, pp.1093~1094 (2005)
  4. Arasil E, "Osteochondroma of the upper cervical spine. A case report", Spine, 21, pp.516~518 (1996)
  5. Garza I, "Craniocervical junction schwannoma mimicking occipital neuralgia", Headache, 47, pp.1204~1205 (2007)
  6. Clavel M, "Occipital neuralgia secondary to exuberant callus formation. Case report", J Neurosurg, 85, pp.1170~1171 (1996)
  7. Levy WJ Jr, "Spinal cord meningioma", J Neurosurg, 57, pp.804~812 (1982)

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