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Occipital Neuralgia 

Occipital Neuralgia
Chapter:
Occipital Neuralgia
Author(s):

Tabitha A. Washington

, Khalilah Brown

, and Gilbert Fanciullo

DOI:
10.1093/med/9780199827602.003.0018
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date: 18 August 2019

Occipital neuralgia is defined by the International Headache Society (IHS) as paroxysmal shooting or stabbing pain in the dermatomes of the nervus occipitalis major or nervus occipitalis minor. The pain in occipital neuralgia is characterized as burning, lancenating pain that, like migraine, is usually unilateral with radiation to the frontal, orbital and periorbital regions. Treatment flow guidelines start with; history and physical exam, followed by performing a test block, then considering more long-term blocks with anesthetic and corticosteroid or with radiofrequency ablation of the occipital nerve.

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