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Occipital neuralgia treated by intradural dorsal nerve root sectioning.

Authors
  • Horowitz, M B
  • Yonas, H
Type
Published Article
Journal
Cephalalgia : an international journal of headache
Publication Date
Oct 01, 1993
Volume
13
Issue
5
Identifiers
PMID: 8242730
Source
Medline
License
Unknown

Abstract

The term occipital neuralgia was first used in 1821 to describe a characteristic pain in the region innervated by the greater occipital nerve. Since that time numerous authors have failed to reach a consensus concerning the presentation, cause, and treatment of this entity. Review of these previous works reveals that the term occipital neuralgia encompasses a collection of signs and symptoms which develop secondary to a variety of different disease processes. We have treated nine patients suffering from severe occipital pain with associated C2 hypesthesia, unilateral retro-orbital pain, and occipital or C2 tubercle trigger points by intradurally sectioning the C1-C4 dorsal rootlets (C4 if shoulder pain existed). All patients had been treated previously with various modalities without success. This paper discusses the results obtained in these patients.

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