Greater Occipital Nerve Neuralgia Caused by Pathological Arterial Contact: Treatment by Surgical Decompression

Authors

  • Christiane Cornely MD,

    1. From the Department of Neurology and Clinical Neurophysiology, HELIOS Klinikum Wuppertal, University of Witten/Herdecke, Wuppertal, Germany (C. Cornely, M. Fischer, and S. Isenmann); Department of Plastic and Hand Surgery, HELIOS Klinikum Wuppertal, Wuppertal, Germany (G. Ingianni).
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  • Marius Fischer MD,

    1. From the Department of Neurology and Clinical Neurophysiology, HELIOS Klinikum Wuppertal, University of Witten/Herdecke, Wuppertal, Germany (C. Cornely, M. Fischer, and S. Isenmann); Department of Plastic and Hand Surgery, HELIOS Klinikum Wuppertal, Wuppertal, Germany (G. Ingianni).
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  • Giulio Ingianni MD,

    1. From the Department of Neurology and Clinical Neurophysiology, HELIOS Klinikum Wuppertal, University of Witten/Herdecke, Wuppertal, Germany (C. Cornely, M. Fischer, and S. Isenmann); Department of Plastic and Hand Surgery, HELIOS Klinikum Wuppertal, Wuppertal, Germany (G. Ingianni).
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  • Stefan Isenmann MD

    1. From the Department of Neurology and Clinical Neurophysiology, HELIOS Klinikum Wuppertal, University of Witten/Herdecke, Wuppertal, Germany (C. Cornely, M. Fischer, and S. Isenmann); Department of Plastic and Hand Surgery, HELIOS Klinikum Wuppertal, Wuppertal, Germany (G. Ingianni).
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  • Conflict of Interest: The authors report no conflicts of interest.

S. Isenmann, Department of Neurology and Clinical Neurophysiology, HELIOS Klinikum Wuppertal, University of Witten/Herdecke, Heusnerstr. 40, 42283 Wuppertal, Germany.

Abstract

(Headache 2011;51:609-616)

Occipital nerve neuralgia is a rare cause of severe headache, and may be difficult to treat. We report the case of a patient with occipital nerve neuralgia caused by pathological contact of the nerve with the occipital artery. The pain was refractory to medical treatment. Surgical decompression yielded complete remission.

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