Occipital neuralgia in lung carcinoma: A rare clinical scenario case report

Q4 Medicine
Sovan Dhar Sarang, R. Sahoo, Z. Hossain, Majumdar Das Saroj, Dillip Kumar
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引用次数: 1

Abstract

www.onk.ns.ac.rs/Archive • Volume 24 • Issue 1 • 2018 INTRODUCTION Occipital Neuralgia (ON) is characterised by sharp shooting pain arising in the sensory distribution of occipital nerves. Owing to be an uncommon diagnosis and at the same time due to overlap in criteria with more common neuralgias, its incidence and prevalence is rarely reported (1). A study in the Dutch general population reported a relatively low incidence of 3.2 per 100.000 (2). Reported etiology for precipitation of ON can be divided in to vascular, neurogenic, muscular, and osteogenic causes. The pathophysiology of occipital neuralgia is yet to be specified. The prevalent hypothesis is that it results from injury to the C2-C3 nerve roots and/or occipital nerves through various mechanisms such as vertebral instability, trauma, inflammation, entrapment etc. The onset of pain in occipital neuralgia is usually acute. It is described in various ways stabbing / shooting / electric shock like that starts in the nuchal region and spreads towards vertex. The episode may start spontaneously or precipitate by factors such as movement, combing of hair, exposure to cold etc. On palpation, the occipital nerve trunks may reveal local tenderness. Percussion over occipital nerve often reproduces the distribution of pain (Tinel’s Sign)(1). Diagnosis of ON is achieved with the help of above mentioned clinical manifestations. Cervicogenic headache, Trigeminal neuralgia and referred occipital pain may mimic clinical features of ON and need to be ruled out.
肺癌的枕神经痛:一个罕见的临床病例报告
www.onk.ns.ac.rs/Archive•第24卷•第1期•2018介绍枕神经痛(ON)的特征是在枕神经的感觉分布中产生尖锐的射击痛。由于是一种罕见的诊断,同时由于标准与更常见的神经痛重叠,其发病率和患病率很少报道(1)。荷兰普通人群的一项研究报告发病率相对较低,为每10万人3.2例(2)。报道的ON沉淀的病因可分为血管、神经源性、肌肉和骨源性原因。枕神经痛的病理生理机制尚不明确。普遍的假设是,它是由C2-C3神经根和/或枕神经的损伤通过各种机制引起的,如椎体不稳定、创伤、炎症、卡压等。枕神经痛的发作通常是急性的。它以各种方式被描述为刺/射击/电击,就像从颈部区域开始并向顶点扩散一样。发作可能自发开始或沉淀的因素,如运动,梳理头发,暴露于寒冷等。触诊时,枕神经干可显示局部压痛。枕神经上的打击经常再现疼痛的分布(蒂内尔征)(1)。ON的诊断是通过上述临床表现来实现的。颈源性头痛、三叉神经痛和牵涉性枕部疼痛可能与ON的临床特征相似,需要排除。
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来源期刊
Archive of Oncology
Archive of Oncology Medicine-Oncology
CiteScore
0.60
自引率
0.00%
发文量
5
审稿时长
12 weeks
期刊介绍: Archive of Oncology is an international oncology journal that publishes original research, editorials, review articles, case (clinical) reports, and news from oncology (medical, surgical, radiation), experimental oncology, cancer epidemiology, and prevention. Letters are also welcomed. Archive of Oncology is covered by Biomedicina Vojvodina, Biomedicina Serbica, Biomedicina Oncologica, EMBASE/Excerpta Medica, ExtraMED and SCOPUS.
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