Occipital neuralgia as an unusual manifestation of herpes zoster infection of the lesser occipital nerve: a case report

İpekdal, H. İlker; Yiğitoğlu, Pembe Hare; Eker, Amber; Özmenoğlu, Mehmet

doi:10.1007/s13760-012-0126-x

Cited by 6 publications

(5 citation statements)

References 10 publications

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“…To our knowledge only a few cases of Occipital neuralgia as manifestation of herpes zoster infection have been described. 5 The last case was paroxistic occipital pain, with combination of neck-tongue syndrome. Thirty-nine cases were reported with neck sensory symptoms and in the ipsilateral tongue, as moving the head, and atlanto-axoid joint luxation was pointed as one possible aetiology.…”

Section: Discussionmentioning

confidence: 99%

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Headache with occipital neuralgia phenotype: Report of four cases

Nagel

Bonamico

Goicochea

2021

Cephalalgia Reports

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Background: The International Headache Society defines Occipital neuralgia as an unilateral or bilateral paroxysmal, shooting or stabbing pain in the posterior part of the scalp, in the distribution(s) of the greater, lesser and/or third occipital nerves. The most common pain trigger in this area result from chronically contracted muscles. Different aetiologies of headache with occipital neuralgia phenotype have been described. Case: We report four cases in which pain with occipital neuralgia phenotype was the initial symptom of a clivus chordoma; a para-pharyngeal carcinoma; a vertebral dissection; and a brachial plexitis due to zoster. Conclusion: A detailed anamnesis and physical examination should be performed in these patients. If during follow up atypical finding appears, we recommend head and neck gadolinium-enhanced MRI and biochemistry to exclude secondary causes.

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Section: Discussionmentioning

confidence: 99%

“…To our knowledge only a few cases of Occipital neuralgia as manifestation of herpes zoster infection have been described. 5…”

Section: Discussionmentioning

confidence: 99%

Headache with occipital neuralgia phenotype: Report of four cases

Nagel

Bonamico

Goicochea

2021

Cephalalgia Reports

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“…No relevant reports have been found in the literature at home and abroad. A case of occipital neuralgia caused by a herpes zoster virus infection has been reported[ 15 ]. The pathogenesis may be related to abnormal occipital suspension structure caused by respiratory virus infection.…”

Section: Discussionmentioning

confidence: 99%

H7N9 avian influenza with first manifestation of occipital neuralgia: A case report

Zhang¹

2023

World J Clin Cases

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BACKGROUND Most of the first symptoms of avian influenza are respiratory symptoms, and cases with occipital neuralgia as the first manifestation are rarely reported. CASE SUMMARY A middle-aged patient complaining of paroxysmal pain behind the ear was admitted to our hospital. The patient’s condition changed rapidly, and high fever, unexpected respiratory failure, and multiple organ failure developed rapidly. The patient was diagnosed with H7N9 avian influenza based on etiology. CONCLUSION We believe that the etiology of occipital neuralgia is complex and could be the earliest manifestation of severe diseases. The possibility of an infectious disease should be considered when occipital neuralgia is accompanied by fever. Avian influenza is one of these causative agents.

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“…However, in certain circumstances and in special populations, VZV infection can present with unusual manifestations. The reported case represents a unusual combination of facial Herpes lesions and pain in the C2 and C3 regions [9,10].…”

Section: Casementioning

confidence: 93%

Unusual Manifestation of Herpes Zoster Infection Involving the Greater, Lesser Occipital and Transverse Cervical Nerve: A Case Report

Mevio¹

2015

J Otolaryngol Rhinol

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titer in blood (2.42 Vs < 1.0: negative index), patient was diagnosed as having Herpes Zoster. Viral infection was treated with famciclovir 500 mg, 8 hourly, for 15 days; pain was treated with dexibuprofen (400 mg, 8 hourly, for the first week and as needed thereafter). The patient refused the steroid therapy that we usually associated to antiviral treatment.Ten days after the treatment start, skin lesions and pain improved: the patient recovered completely 4 weeks after. DiscussionDistinct neurologic syndromes associated with Herpes Zoster infection include acute or chronic encephalitis, ophthalmic Zoster with contralateral hemiparesis, myelitis, polyradiculitis, motor

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Occipital neuralgia as an unusual manifestation of herpes zoster infection of the lesser occipital nerve: a case report

Cited by 6 publications

References 10 publications

Headache with occipital neuralgia phenotype: Report of four cases

Headache with occipital neuralgia phenotype: Report of four cases

H7N9 avian influenza with first manifestation of occipital neuralgia: A case report

Unusual Manifestation of Herpes Zoster Infection Involving the Greater, Lesser Occipital and Transverse Cervical Nerve: A Case Report

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