Cesmebasi Alper, Muhleman Mitchel A, Hulsberg Paul, Gielecki Jerzy, Matusz Petru, Tubbs R Shane, Loukas Marios
Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota; Department of Anatomical Sciences, School of Medicine, St. George's University, Grenada, West Indies.
Clin Anat. 2015 Jan;28(1):101-8. doi: 10.1002/ca.22468. Epub 2014 Sep 22.
Occipital neuralgia is a debilitating disorder first described in 1821 as recurrent headaches localized in the occipital region. Other symptoms that have been associated with this condition include paroxysmal burning and aching pain in the distribution of the greater, lesser, or third occipital nerves. Several etiologies have been identified in the cause of occipital neuralgia and include, but are not limited to, trauma, fibrositis, myositis, fracture of the atlas, and compression of the C-2 nerve root, C1-2 arthrosis syndrome, atlantoaxial lateral mass osteoarthritis, hypertrophic cervical pachymeningitis, cervical cord tumor, Chiari malformation, and neurosyphilis. The management of occipital neuralgia can include conservative approaches and/or surgical interventions. Occipital neuralgia is a multifactorial problem where multiple anatomic areas/structures may be involved with this pathology. A review of these etiologies may provide guidance in better understanding occipital neuralgia.
枕神经痛是一种使人衰弱的疾病，于1821年首次被描述为局限于枕部区域的复发性头痛。与这种情况相关的其他症状包括枕大神经、枕小神经或第三枕神经分布区域的阵发性灼痛和酸痛。枕神经痛的病因已确定有多种，包括但不限于创伤、纤维炎、肌炎、寰椎骨折、C-2神经根受压、C1-2关节综合征、寰枢外侧块骨关节炎、肥厚性颈硬脊膜炎、颈髓肿瘤、Chiari畸形和神经梅毒。枕神经痛的治疗可包括保守方法和/或手术干预。枕神经痛是一个多因素问题，多个解剖区域/结构可能与这种病理状况有关。对这些病因的综述可能为更好地理解枕神经痛提供指导。
