Greater occipital neuralgia
Introduction
Introduction Pillow nerve pain refers to paroxysmal or persistent pain in the distribution of the occipital nerve (posterior occipital), and may also be paroxysmal on the basis of persistent pain. The clinical manifestations are acupuncture, knife cutting or burning pain on one or both sides of the posterior occiput or both. The patient does not dare to turn his head when the pain occurs, and the head and neck are sometimes in a straight state. It can be seen that there is tenderness at the exit of the large nerve (wind pool), and the area of the occipital nerve (C2-3) is hyperalgesia or hypothyroidism below the ear line to the hairline. The cause is similar to supraorbital neuralgia, often caused by cold and cold.
Cause
Cause
Often caused by cold, cold, but also due to cervical trauma, proliferative cervical spondylosis and other cervical lesions, and some causes are not clear.
Examine
an examination
Related inspection
Electromyography vagus nerve examination neurological examination
1. Cerebrospinal fluid examination is basically normal.
2. Head and neck MRI can be normal.
3. EMG.
Diagnosis
Differential diagnosis
Intercostal neuralgia, also known as intercostal neuritis, is a group of symptoms that refer to the damage of the thoracic nerve root (ie, the intercostal nerve) for different reasons, such as: thoracic degeneration, thoracic tuberculosis, thoracic vertebrae injury, thoracic dural meningitis, Tumors, ankylosing spondylitis and other diseases or ribs, mediastinum, pleural lesions, intercostal nerves are subjected to compression, stimulation, and inflammatory reactions of the above-mentioned diseases, and syndromes with banded pain in the chest intercostal or abdomen appear.
Intercostal neuralgia is a recurrent pain that occurs in one or more intercostal areas and is exacerbated. Primary intercostal neuralgia is rare, and secondary infections are associated with viral infections, toxin stimulation, mechanical damage, and foreign body oppression. The pain is mostly stinging or burning and is distributed along the intercostal nerves.
Neuralgia: Pain is one of the common symptoms of neurology. This kind of pain refers to the pain that is felt without external stimuli, also known as spontaneous pain. There are many types of spontaneous pain, and the lesions can be divided into peripheral neuropathic pain and central nervous pain.
Sciatica: refers to sciatic neuropathy, a group of painful symptoms that occur along the sciatic nerve pathway, ie, the waist, hips, back of the thigh, posterior aspect of the lower leg, and lateral aspect of the foot. The sciatic nerve is the main nerve trunk that governs the lower extremities. Sciatica refers to pain in the sciatic nerve pathway and its distribution (hip, back of the thigh, posterior aspect of the calf, and lateral aspect of the foot).
The clinical manifestations are acupuncture, knife cutting or burning pain on one or both sides of the posterior occiput or both. The patient does not dare to turn his head when the pain occurs, and the head and neck are sometimes in a straight state. Physical examination showed that there was tenderness at the exit of the large nerve, and the area of the occipital nerve (C2-3) was hyperalgesia or decreased from below the ear line to the hairline.
