Greater occipital neuralgia
Introduction
Introduction to occipital neuralgia Pillow nerve pain refers to paroxysmal or persistent pain in the distribution of the occipital nerve (posterior occipital), and may also be paroxysmal on the basis of persistent pain. The cause is similar to supraorbital neuralgia, often caused by cold and cold, but also due to cervical lesions such as neck trauma and proliferative cervical spondylosis. basic knowledge The proportion of illness: 0.001% Susceptible people: no specific population Mode of infection: non-infectious complication:
Cause
Cause of occipital neuralgia
Often due to cold, cold, but also due to cervical trauma, proliferative cervical spondylosis and other cervical lesions caused by some of the cause is not clear.
Prevention
Pillow nerve pain prevention
To prevent occipital neuralgia, do more outdoor activities, do not stay in the air-conditioned room for a long time.
1, to avoid and prevent systemic diseases, such as infection, diabetes, uremia, rheumatic fever, poisoning and other primary diseases, can reduce the incidence of occipital neuralgia.
2, prevention and avoid secondary factors that cause occipital neuralgia, such as cervical tuberculosis, cervical spondylosis, muscle fibromyelitis, local infections and trauma.
Complication
Complications of occipital neuralgia Complication
For example, there is tenderness in the posterior superior margin of the sternocleidomastoid or in the posterior mastoid, suggesting that the occipital small nerve and the auricular nerve are also involved.
Symptom
Symptoms of occipital neuralgia Common symptoms Topical headache can not turn the extracranial headache occipital pain below the ear line to the hair... Neuropathic occipital and posterior neck pain forehead acupuncture pain or burning sensation
The clinical manifestation is acupuncture of the occipital or occipital part of one or both sides. The knife is cut or burnt. The patient does not dare to turn his head when the pain occurs. The head and neck are sometimes in a straight state. There is tenderness at the nerve exit, and the occipital large nerve distribution area (C2-3) is hyperalgesia or hypothyroidism below the ear line to the hairline.
Examine
Examination of occipital neuralgia
1. The cerebrospinal fluid examination is basically normal.
2. Head and neck MRI can be normal.
3. EMG.
Diagnosis
Diagnosis and differentiation of occipital neuralgia
diagnosis
Diagnosis can be based on medical history, clinical symptoms, and laboratory tests.
Differential diagnosis
According to typical clinical symptoms, the signs are not difficult to distinguish from the pain in similar parts, such as organic lesions caused by imaging to help differential diagnosis.
