Occipital neuralgia manifesting as orofacial pain

Fotos, Pete G.; Sulfaro, Michael A.; Gobetti, John P.

doi:10.1016/s1079-2104(05)80261-6

Cited by 25 publications

(3 citation statements)

References 14 publications

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“…Radiation of pain into frontal, temporal and orofacial regions, as observed in cases 1 and 2, deserves further comment. As there is evidence of more widespread headaches [9], frontal [10] and orofacial pain [11] in occipital neuralgia, our observations are consistent with this diagnosis. In this context it is noteworthy that prolonged hypaesthesia [12] has been described after greater occipital nerve block, which exemplifies convergence between cervical roots—the origin of the greater occipital nerve—and trigeminal afferents.…”

Section: Discussionsupporting

confidence: 83%

Familial occipital and nervus intermedius neuralgia in a Swiss family

et al. 2010

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Familial trigeminal neuralgia has been reported in 1–2% of cases consistent with an autosomal dominant inheritance. We present a Swiss family with several members suffering from occipital and nervus intermedius neuralgia alone or in combination. We suggest that peripheral sensory anastomoses or central convergence of afferent pathways could explain neuralgia affecting two cranial nerves. The pedigree has two main characteristics: (1) affected individuals in two generations and (2) in the first generation the father is affected, in the second generation all women are affected, and none of the men. This is suggestive of an X-linked dominant or an autosomal dominant mode of inheritance.

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Section: Discussionsupporting

confidence: 83%

Familial occipital and nervus intermedius neuralgia in a Swiss family

et al. 2010

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“…Similar conclusions were made by other authors. [ 7 14 16 ] We found that the GON pierced the trapezius fascia and semispinalis muscle on the majority of sides and the inferior capitis oblique on two sides. On 16.7% of sides, the GON did not pierce the muscular fibers of the semispinalis muscle, but traversed its tendinous intersections.…”

Section: Discussionmentioning

confidence: 90%

“…The IHS further listed diagnostic criteria, including tenderness over the affected nerve and relief by local nerve injections. However, the latter two criteria can challenge the clinician because many variations in the pathway of these nerves have been described[ 2 4 12 14 15 ] and standard anatomical texts differ on the subject.…”

Section: Introductionmentioning

confidence: 99%

The Intramuscular Course of the Greater Occipital Nerve: Novel Findings with Potential Implications for Operative Interventions and Occipital Neuralgia

et al. 2014

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Background:A better understanding of the etiologies of occipital neuralgia would help the clinician treat patients with this debilitating condition. Since few studies have examined the muscular course of the greater occipital nerve (GON), this study was performed.Methods:Thirty adult cadaveric sides underwent dissection of the posterior occiput with special attention to the intramuscular course of the GON. Nerves were typed based on their muscular course.Results:The GON traveled through the trapezius (type I; n = 5, 16.7%) or its aponeurosis (type II; n = 15, 83.3%) to become subcutaneous. Variations in the subtrapezius muscular course were found in 10 (33%) sides. In two (6.7%) sides, the GON traveled through the lower edge of the inferior capitis oblique muscle (subtype a). On five (16.7%) sides, the GON coursed through a tendinous band of the semispinalis capitis, not through its muscular fibers (subtype b). On three (10%) sides the GON bypassed the semispinalis capitis muscle to travel between its most medial fibers and the nuchal ligament (subtype c). For subtypes, eight were type II courses (through the aponeurosis of the trapezius), and two were type I courses (through the trapezius muscle). The authors identified two type IIa courses, four type IIb courses, and two type IIc courses. Type I courses included one type Ib and one type Ic courses.Conclusions:Variations in the muscular course of the GON were common. Future studies correlating these findings with the anatomy in patients with occipital neuralgia may elucidate nerve courses vulnerable to nerve compression. This enhanced classification scheme describes the morphology in this region and allows more specific communications about GON variations.

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2016

Diagnosing Dental and Orofacial Pain

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Occipital neuralgia manifesting as orofacial pain

Cited by 25 publications

References 14 publications

Familial occipital and nervus intermedius neuralgia in a Swiss family

Familial occipital and nervus intermedius neuralgia in a Swiss family

The Intramuscular Course of the Greater Occipital Nerve: Novel Findings with Potential Implications for Operative Interventions and Occipital Neuralgia

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