Vascular compression as a potential cause of occipital neuralgia

A case report

J. B. White, P. P. Atkinson, H. J. Cloft, J. L D Atkinson

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Vascular compression is a well-established cause of cranial nerve neuralgic syndromes. A unique case is presented that demonstrates that vascular compression may be a possible cause of occipital neuralgia. A 48-year-old woman with refractory left occipital neuralgia revealed on magnetic resonance imaging and computed tomographic imaging of the upper cervical spine an atypically low loop of the left posterior inferior cerebellar artery (PICA), clearly indenting the dorsal upper cervical roots. During surgery, the PICA loop was interdigitated with the C1 and C2 dorsal roots. Microvascular decompression alone has never been described for occipital neuralgia, despite the strong clinical correlation in this case. Therefore, both sectioning the dorsal roots of C2 and microvascular decompression of the PICA loop were performed. Postoperatively, the patient experienced complete cure of her neuralgia. Vascular compression as a cause of refractory occipital neuralgia should be considered when assessing surgical options.

Original languageEnglish (US)
Pages (from-to)78-82
Number of pages5
JournalCephalalgia
Volume28
Issue number1
DOIs
StatePublished - Jan 2008

Fingerprint

Neuralgia
Blood Vessels
Microvascular Decompression Surgery
Arteries
Spinal Nerve Roots
Cranial Nerves
Spine
Magnetic Resonance Imaging

Keywords

  • Microvascular decompression
  • Occipital neuralgia
  • Vascular compression

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

White, J. B., Atkinson, P. P., Cloft, H. J., & Atkinson, J. L. D. (2008). Vascular compression as a potential cause of occipital neuralgia: A case report. Cephalalgia, 28(1), 78-82. https://doi.org/10.1111/j.1468-2982.2007.01427.x

Vascular compression as a potential cause of occipital neuralgia : A case report. / White, J. B.; Atkinson, P. P.; Cloft, H. J.; Atkinson, J. L D.

In: Cephalalgia, Vol. 28, No. 1, 01.2008, p. 78-82.

Research output: Contribution to journalArticle

White, J. B. ; Atkinson, P. P. ; Cloft, H. J. ; Atkinson, J. L D. / Vascular compression as a potential cause of occipital neuralgia : A case report. In: Cephalalgia. 2008 ; Vol. 28, No. 1. pp. 78-82.
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