Symptoms of small occipital neuritis

summary

Greater occipital neuralgia refers to the disease with the main clinical manifestation of radiation pain in the distribution range of greater occipital nerve (occipital top) caused by local soft tissue exudation, adhesion and spasm, stimulation, compression or traction of greater occipital nerve due to strain, inflammatory stimulation and other reasons. The incidence rate of occipital neuralgia is high. It is more common in middle-aged women, and affects the quality of daily life of patients.

Symptoms of small occipital neuritis

Greater occipital neuralgia is divided into paroxysmal and persistent, mostly unilateral, less bilateral, mostly symptomatic. After X-ray, CT and clinical examination, except for posterior fossa lesions, cervical spinal cord tumors and cavities caused by secondary greater occipital neuralgia, most patients had a clear history of cold before the disease.

It is often unilateral, characterized by pain in the area between one side of the occipital part and the upper part of the external ear, which can radiate back to the top and neck. The pain is mostly tingling, burning or paroxysmal jumping pain, sometimes mild or severe, or persistent.

Pain may be aroused or aggravated by head and neck movements, coughing or sneezing. During the examination, there were obvious tenderness points in the superficial part of the greater occipital nerve, that is, the midpoint of the line between the mastoid process and the posterior part of the first cervical spine, which is equivalent to Fengchi point. The skin in the distribution area of the greater occipital nerve may have hypersensitivity or dystrophy.

matters needing attention

According to the history and clinical manifestations of neck trauma or upper respiratory tract infection, there was obvious tenderness at the midpoint of the line between mastoid and occipital trochanter, and it radiated to the top and forehead. The pain point was closed with lidocaine, and the pain could be relieved temporarily. X-ray examination showed no abnormality, and nervous system examination showed no signs of localization.